NPIMap

Organization Active NPI

Early Foundations, LLC

  • Speech-Language Pathologist
  • Madison, WI
National Provider Identifier
1932153939
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2636-154 Issued in WI
Legal business name
EARLY FOUNDATIONS, LLC
Practice address
32 Paget Rd
Madison, WI 53704-5929
Phone
(608) 347-7794
NPI assigned
May 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Authorized official

Name
Ms. Julie Kleinheinz Byrnes, M.S., CCC-SLP
Title
Speech Language Pathologist
Phone
(608) 347-7794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 2636-154 WI Primary

Addresses

Primary practice location

32 Paget Rd
Madison, WI 53704-5929

Mailing address

32 Paget Rd
Madison, WI 53704-5929
Phone (608) 347-7794

Other identifiers 1

IdentifierTypeStateIssuer
42572900MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1932153939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 PAGET RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045929",
            "telephone_number": "608-347-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 PAGET RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045929",
            "telephone_number": "608-347-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY FOUNDATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "BYRNES",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "KLEINHEINZ",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "608-347-7794",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "2636-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42572900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.