Individual provider Active NPI

Ann E Jochimsen, CCC-SLP

  • Speech-Language Pathologist
  • Medford, WI
National Provider Identifier
1841466455
Registry record updated May 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
869-154 Issued in WI
Practice address
W8711 Blacken Ave
Medford, WI 54451-8944
Phone
(715) 748-0876
NPI assigned
May 3, 2008
Last updated
May 3, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2008

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 869-154 WI Primary

Addresses

Primary practice location

W8711 Blacken Ave
Medford, WI 54451-8944

Mailing address

W8711 Blacken Ave
Medford, WI 54451-8944
Phone (715) 748-0876

Other identifiers 1

IdentifierTypeStateIssuer
42579500MedicaidWI

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
869-154WIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1209772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209772800000",
    "number": "1841466455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W8711 BLACKEN AVE",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544518944",
            "telephone_number": "715-748-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W8711 BLACKEN AVE",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544518944",
            "telephone_number": "715-748-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOCHIMSEN",
        "first_name": "ANN",
        "middle_name": "E",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-03",
        "last_updated": "2008-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "869-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42579500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, WI

Sources for this page

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

Verify at the official NPI Registry.