Active NPI
Emily Ann Wickert, SLP
- Speech-Language Pathologist
- Green Bay, WI
National Provider Identifier
1992016935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3362-154
- Practice address
- 744 S Webster Ave
Green Bay, WI 54301 - Phone
- (920) 431-5555
- Fax
- (920) 430-4745
- NPI assigned
- Jun 24, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Green Bay, WI
- NPI 1033172390
-
- Family Medicine Physician
- Green Bay, WI
- NPI 1104022128
-
- Rural Health Clinic/Center
- Suring, WI
- NPI 1104418037
-
- Rural Health Clinic/Center
- Peshtigo, WI
- NPI 1649628249
-
- Family Medicine Physician
- Brillion, WI
- NPI 1962464784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130212000225 | WI | Practitioner - Qualified Speech Language Pathologist | 2466606827 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3362-154 | WI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oconto Hospital & Medical Center, Inc. | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Past | Accepting new patients |
Locations
933 Waube Ln
Green Bay, WI 54304
Phone (920) 548-9500
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
725 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-7995
2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171
820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100
Interoperability endpoints
- ewickert925732@direct.emplifyhealth.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3362-154 | WI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
744 S Webster Ave
Green Bay, WI 54301
Mailing address
840 Aphrodite Rd
Green Bay, WI 54311-5460
Phone (920) 433-5555
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100009898 | Medicaid | WI |
Other names 1
NPPES NPI Registry- Emily Ann Solchenberger
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 21, 2010.
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292889600000",
"number": "1992016935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 APHRODITE RD",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543115460",
"telephone_number": "920-433-5555",
"fax_number": "920-430-4745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "744 S WEBSTER AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "54301",
"telephone_number": "920-431-5555",
"fax_number": "920-430-4745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICKERT",
"first_name": "EMILY",
"middle_name": "ANN",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-24",
"last_updated": "2010-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "3362-154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100009898",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "SOLCHENBERGER",
"middle_name": "ANN",
"credential": "SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.