Active NPI
Antonia Peplinski, M.S., CCC-SLP
- Speech-Language Pathologist
- Germantown, WI
National Provider Identifier
1972097764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4567-154
- Practice address
- W175N11117 Stonewood Dr
Germantown, WI 53022-6508 - Phone
- (262) 293-3951
- NPI assigned
- Jun 15, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4567-154 | WI | Primary |
Addresses
Primary practice location
W175N11117 Stonewood Dr
Germantown, WI 53022-6508
Mailing address
90A Lincoln Ave
Sheboygan, WI 53081-2934
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14088313 | Other | ASHA | |
| 4567-154 | Other | WI | DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4567-154 | WI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FMG Mead Avenue Wisconsin LLC | Past | Accepting new patients | |
| Preceptor Health Care | Past | 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 and National Provider Directory roles.
-
- Skilled Nursing Facility
- Sheboygan, WI
- NPI 1881083228
-
- Home Health Agency
- Germantown, WI
- NPI 1245604578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529020800000",
"number": "1972097764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90A LINCOLN AVE",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530812934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W175N11117 STONEWOOD DR",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530226508",
"telephone_number": "262-293-3951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEPLINSKI",
"first_name": "ANTONIA",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-15",
"last_updated": "2018-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "4567-154",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA",
"identifier": "14088313",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES",
"identifier": "4567-154",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.