Individual provider Active NPI

Gabrielle Proffitt

  • Speech-Language Pathologist
  • Kenosha, WI
National Provider Identifier
1841119955
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7495-154 Issued in WI
Practice address
3615 Washington Rd
Kenosha, WI 53144-1640
Phone
(262) 287-0090
Fax
(262) 923-1939
NPI assigned
Jul 13, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 7495-154 WI Primary

Addresses

Primary practice location

3615 Washington Rd
Kenosha, WI 53144-1640

Mailing address

13203 Globe Dr Ste 111
Mount Pleasant, WI 53177-1616
Phone (262) 287-0090

Other practice location 1

140 E Rawson Ave Ste 317
Oak Creek, WI 53154-1525
Phone (262) 287-0090 ext. 2501

Other practice location 2

13203 Globe Dr Ste 111
Mount Pleasant, WI 53177-1616
Phone (262) 287-0090 ext. 2501

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Support Services Inc PastSince May 7, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1783900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1841119955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13203 GLOBE DR STE 111",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "531771616",
            "telephone_number": "262-287-0090",
            "fax_number": "262-923-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 WASHINGTON RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441640",
            "telephone_number": "262-287-0090",
            "fax_number": "262-923-1939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 E Rawson Ave Ste 317",
            "address_purpose": "LOCATION",
            "city": "Oak Creek",
            "state": "WI",
            "postal_code": "531541525",
            "country_code": "US",
            "telephone_number": "262-287-0090 x2501",
            "fax_number": "262-923-1939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13203 Globe Dr Ste 111",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "WI",
            "postal_code": "531771616",
            "country_code": "US",
            "telephone_number": "262-287-0090 x2501",
            "fax_number": "262-923-1939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROFFITT",
        "first_name": "GABRIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "7495-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.