Kewaskum School District

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

KEWASKUM SCHOOL DISTRICT

Practice address

1676 Reigle Dr Ste 100
Kewaskum, WI 53040-8923

Phone

(262) 626-8427

Fax

(262) 626-2961

NPI assigned

Aug 13, 2007

Organization subpart

No

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

Authorized official

Name

Sue Burgard

Title

Director of Pupil Services

Phone

(262) 626-8427

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1871785931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "KEWASKUM",
            "state": "WI",
            "postal_code": "530400037",
            "telephone_number": "262-626-8427",
            "fax_number": "262-626-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 REIGLE DR STE 100",
            "city": "KEWASKUM",
            "state": "WI",
            "postal_code": "530408923",
            "telephone_number": "262-626-8427",
            "fax_number": "262-626-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEWASKUM SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "BURGARD",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "DIRECTOR OF PUPIL SERVICES",
        "authorized_official_telephone_number": "262-626-8427"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44214100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garrett Richard Jones
• Mitchell Kannal
• Meghan M Kelley, APNP
• Kewaskum Family Dentistry
• Kewaskum Fire Department
• Mikayla Merlene Kremer, ND
• Melanee Krumhus, APNP
• Melissa Madriaga
• Amber Lynn McCarty, RN BSN
• Taylor Catherine Meng, RBT

• Speech-Language Pathologist in Kewaskum, WI
• Providers in Kewaskum, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.