Active NPI
Rebecca Freda Chudada, M.S., CCC-SLP
- Speech-Language Pathologist
- Milwaukee, WI
National Provider Identifier
1871791376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2423154
- Practice address
- 3540 S 43Rd St
Milwaukee, WI 53220-1502 - Phone
- (414) 541-1000
- NPI assigned
- Jul 5, 2007
- Last updated
- Jun 20, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 2423154 | WI | Primary |
Addresses
Primary practice location
3540 S 43Rd St
Milwaukee, WI 53220-1502
Mailing address
5679 S Lorene Ave
Milwaukee, WI 53221-4067
Phone (262) 661-3678
Other names 1
- Miss Rebecca Freda Nebel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11800 W Edgerton Ave
Greenfield, WI 53228-3034
Phone (414) 312-8146
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2423154 | WI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paxxon Healthcare Services LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Paxxon Healthcare Services LLC | Current | Accepting new patients | |
| Curative Care Network, Inc. | Past | Accepting new patients |
Locations
1111 E Capitol Dr
Shorewood, WI 53211
Phone (262) 293-3207
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Menomonee Falls, WI
- NPI 1003174087
Speech-Language Pathologist
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1336808146
-
- Rehabilitation Clinic/Center
- Milwaukee, WI
- NPI 1083755177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308528000000",
"number": "1871791376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5679 S LORENE AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532214067",
"telephone_number": "262-661-3678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3540 S 43RD ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532201502",
"telephone_number": "414-541-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUDADA",
"first_name": "REBECCA",
"middle_name": "FREDA",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-05",
"last_updated": "2011-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "2423154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "NEBEL",
"middle_name": "FREDA",
"prefix": "MISS",
"credential": "M.S., CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.