Emma Pavletich

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14395028 Issued in WI

Practice address

1410 S Waukechon St
Shawano, WI 54166-3643

Phone

(715) 524-2134

NPI assigned

Oct 2, 2024

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1891513255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S88W26020 EDGEWOOD AVE",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531498543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 S WAUKECHON ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541663643",
            "telephone_number": "715-524-2134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "S88W26020 Edgewood Ave",
            "address_purpose": "LOCATION",
            "city": "Mukwonago",
            "state": "WI",
            "postal_code": "531498543",
            "country_code": "US",
            "telephone_number": "262-765-7132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAVLETICH",
        "first_name": "EMMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "14395028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirby Elizabeth Otto, APNP
• Pai Participant 23 SC
• Ann M Papendorf, APNP
• Angela M Parmentier, DNP, APNP, NP-C, RN-
• Paul D. Dibley, D.D.S., S.C.
• Tyler Pensis
• Brittany L Perkins, P.T.
• Thomas G Peterson, O.D.
• Kristie R. Petry, REGISTERED NURSE
• Anthony W Phillips, M.D.

• Speech-Language Pathologist in Shawano, WI
• Providers in Shawano, 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 Oct 2, 2024; 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.