Active NPI
Speechworks LLC
- Speech-Language Pathologist
- Oconomowoc, WI
National Provider Identifier
1881081669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2979-154
- Legal business name
- SPEECHWORKS LLC
- Practice address
- 658 River Bluff Cir
Oconomowoc, WI 53066-3477 - Phone
- (262) 490-5653
- NPI assigned
- Apr 20, 2015
- Last updated
- Apr 20, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jann Fujimoto
- Title
- Speech-Language Pathologist
- Phone
- (262) 354-0215
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2979-154 | WI | Primary |
Addresses
Primary practice location
658 River Bluff Cir
Oconomowoc, WI 53066-3477
Mailing address
38 S Main St Unit 847
Oconomowoc, WI 53066-7202
National Provider Directory
National Provider DirectoryLocations
38 S Main St
Unit 847
Oconomowoc, WI 53066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429488000000",
"number": "1881081669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 S MAIN ST UNIT 847",
"city": "OCONOMOWOC",
"state": "WI",
"postal_code": "530667202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "658 RIVER BLUFF CIR",
"city": "OCONOMOWOC",
"state": "WI",
"postal_code": "530663477",
"telephone_number": "262-490-5653"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPEECHWORKS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-20",
"last_updated": "2015-04-20",
"status": "A",
"authorized_official_last_name": "FUJIMOTO",
"authorized_official_first_name": "JANN",
"authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "262-354-0215"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "2979-154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oconomowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.