Megan Kae Wiskirchen, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-1992 Issued in ID

Practice address

3303 S Brampton Way
Boise, ID 83706-5309

Phone

(801) 641-4442

NPI assigned

Dec 8, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Kaleidoscope Pediatric Therapy LLC

  • Occupational Therapist
  • Boise, ID
  • NPI 1154693364

  Speech-Language Pathologist

  Medicare reassignment NPD

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1881962538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 S BRAMPTON WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837065309",
            "telephone_number": "801-641-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 S BRAMPTON WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837065309",
            "telephone_number": "801-641-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISKIRCHEN",
        "first_name": "MEGAN",
        "middle_name": "KAE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-1992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Winton, MD
• Alan Kelly Winward, RN
• Wisconsin Lutheran Child & Family Servic, Ince
• Aaron Wise
• Nancy Jane Wise
• Rebecca S Wiskus, LMSW
• Jordan M Wisner, PHD
• Cody Elijah Wissenbach, P.A.
• Sydney Wiswell
• Emily Remington Withers, LMSW

• Speech-Language Pathologist in Boise, ID
• Providers in Boise, ID by specialty
• Speech-Language Pathologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.