Nicole Zygarlicke, CFY-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4651-154 Issued in WI

Practice address

1010 E Wausau Ave
Wausau, WI 54403

Phone

(715) 842-2028

NPI assigned

Dec 23, 2015

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

Other names 1

• Miss Nicole Brandon Former name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Sundance Rehabilitation LLC

  • Rehabilitation Clinic/Center
  • Deforest, WI
  • NPI 1073912119
  Medicare reassignment NPD

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1932564531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5760 REGENT ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544829174",
            "telephone_number": "715-347-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E WAUSAU AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "54403",
            "telephone_number": "715-842-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZYGARLICKE",
        "first_name": "NICOLE",
        "credential": "CFY-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-23",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "4651-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BRANDON",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Giana Zubke-Brubacher
• Krista Marie Zubke, P.T.
• Mikko B Zuchner, MD
• Janine Zuiches, SAC -IT
• Mary Jo Zurawski, NP

• Speech-Language Pathologist in Wausau, WI
• Providers in Wausau, 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 Jun 7, 2018; 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.