Individual provider Active NPI

Rebecca Ann McEachen

  • Speech-Language Pathologist
  • Wausau, WI
National Provider Identifier
1962230045
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6636154 Issued in WI
Practice address
3200 Westhill Dr
Wausau, WI 54401-4705
Phone
(715) 843-1058
Fax
(715) 843-1058
NPI assigned
Jul 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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 6636154 WI Primary

Addresses

Primary practice location

3200 Westhill Dr
Wausau, WI 54401-4705

Mailing address

3200 Westhill Dr Ste 100
Wausau, WI 54401-4706
Phone (715) 843-1058

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6636154WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Wausau Hospital, Inc CurrentSince Jul 15, 2024 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Jul 15, 2024 Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

3200 Westhill Dr
Ste 100
Wausau, WI 54401
Phone (715) 843-1058

3200 Westhill Dr
Wausau, WI 54401
Phone (715) 847-0077

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1962230045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 WESTHILL DR STE 100",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014706",
            "telephone_number": "715-843-1058",
            "fax_number": "715-843-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 WESTHILL DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014705",
            "telephone_number": "715-843-1058",
            "fax_number": "715-843-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEACHEN",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "6636154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.