Individual provider Active NPI

Katrina Schueneman, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Dubois, WY
National Provider Identifier
1891124541
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-525 Issued in WY
Practice address
700 North 1St Street
Dubois, WY 82513
Phone
(307) 455-5517
NPI assigned
Nov 4, 2013
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 SP-525 WY Primary

Addresses

Primary practice location

700 North 1St Street
Dubois, WY 82513

Mailing address

PO Box 188
Dubois, WY 82513-0188
Phone (307) 761-1386

Other practice location 1

307 Main St
Lander, WY 82520-3101
Phone (307) 332-2715

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP-525WYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sinks Canyon Therapies Inc Past Accepting new patients
Sinks Canyon Therapies Inc Speech-Language Pathologist PastSince Jul 1, 2018 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1891124541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "DUBOIS",
            "state": "WY",
            "postal_code": "825130188",
            "telephone_number": "307-761-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NORTH 1ST STREET",
            "city": "DUBOIS",
            "state": "WY",
            "postal_code": "82513",
            "telephone_number": "307-455-5517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 Main St",
            "address_purpose": "LOCATION",
            "city": "Lander",
            "state": "WY",
            "postal_code": "825203101",
            "country_code": "US",
            "telephone_number": "307-332-2715",
            "fax_number": "307-332-0314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHUENEMAN",
        "first_name": "KATRINA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WY",
            "license": "SP-525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubois, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.