Active NPI
Patricia A Entler, M.S, DRL LICENSE
- Speech-Language Pathologist
- Park Falls, WI
National Provider Identifier
1831362490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1273 DRL
- Practice address
- 628 W Powell Rd
Park Falls, WI 54552-6215 - Phone
- (715) 476-9181
- NPI assigned
- Apr 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1273 DRL | WI | Primary |
Addresses
Primary practice location
628 W Powell Rd
Park Falls, WI 54552-6215
Mailing address
628 W Powell Rd
Park Falls, WI 54552-6215
Phone (715) 476-9181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42589200 | Medicaid | WI |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1273 DRL | WI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207180800000",
"number": "1831362490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 W POWELL RD",
"city": "PARK FALLS",
"state": "WI",
"postal_code": "545526215",
"telephone_number": "715-476-9181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "628 W POWELL RD",
"city": "PARK FALLS",
"state": "WI",
"postal_code": "545526215",
"telephone_number": "715-476-9181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENTLER",
"first_name": "PATRICIA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "M.S, DRL LICENSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-03",
"last_updated": "2008-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "1273 DRL",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42589200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Park Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.