Individual provider Active NPI

Cassie Jo M Drewieske

  • Speech-Language Pathologist
  • Glendale, WI
National Provider Identifier
1811291792
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3466-154 Issued in WI
Practice address
1616 W Bender Rd
Glendale, WI 53209-3802
Phone
(414) 228-8700
Fax
(414) 228-9946
NPI assigned
Jan 6, 2011
Last updated
Jan 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3466-154 WI Primary

Addresses

Primary practice location

1616 W Bender Rd
Glendale, WI 53209-3802

Mailing address

1609 N Prospect Ave
#804
Milwaukee, WI 53202-2492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3466-154WIMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1811291792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 N PROSPECT AVE",
            "address_2": "#804",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 W BENDER RD",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532093802",
            "telephone_number": "414-228-8700",
            "fax_number": "414-228-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREWIESKE",
        "first_name": "CASSIE JO",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "3466-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.