Active NPI
Jeffrey Walter David, CCC-SLP
- Speech-Language Pathologist
- Auburndale, WI
National Provider Identifier
1982513867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14450632
- Practice address
- 10564 N School St
Auburndale, WI 54412 - Phone
- (715) 652-2812
- NPI assigned
- Sep 4, 2026
- Sex
- Male
- 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 | 14450632 | WI | Primary |
Addresses
Primary practice location
10564 N School St
Auburndale, WI 54412
Mailing address
10564 N School St.
Auburndale, WI 54412
Phone (715) 652-2812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1982513867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10564 N SCHOOL ST.",
"city": "AUBURNDALE",
"state": "WI",
"postal_code": "54412",
"telephone_number": "715-652-2812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10564 N SCHOOL ST",
"city": "AUBURNDALE",
"state": "WI",
"postal_code": "54412",
"telephone_number": "715-652-2812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVID",
"first_name": "JEFFREY",
"middle_name": "WALTER",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-04",
"last_updated": "2026-09-04",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "14450632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburndale, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.