Active NPI
Claire Gorman, MA, CF-SLP
- Speech-Language Pathologist
- Mequon, WI
National Provider Identifier
1992353676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4926-154
- Practice address
- 1486 W Mequon Rd
Mequon, WI 53092-3268 - Phone
- (262) 241-8030
- NPI assigned
- Aug 27, 2019
- 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 | 4926-154 | WI | Primary |
Addresses
Primary practice location
1486 W Mequon Rd
Mequon, WI 53092-3268
Mailing address
1688 S 115TH CT Apt 7
Milwaukee, WI 53214-3798
Phone (608) 931-5433
Other practice location 1
620 Schoenhaar Dr
West Bend, WI 53090-2649
Phone (262) 306-8450
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4926-154 | WI | MD | Speech-Language Pathologist |
Interoperability endpoints
- cgormanstachowiak88013@direct.chw.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566864000000",
"number": "1992353676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1688 S 115TH CT APT 7",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532143798",
"telephone_number": "608-931-5433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1486 W MEQUON RD",
"city": "MEQUON",
"state": "WI",
"postal_code": "530923268",
"telephone_number": "262-241-8030"
}
],
"practiceLocations": [
{
"address_1": "620 Schoenhaar Dr",
"address_purpose": "LOCATION",
"city": "West Bend",
"state": "WI",
"postal_code": "530902649",
"country_code": "US",
"telephone_number": "262-306-8450",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORMAN",
"first_name": "CLAIRE",
"credential": "MA, CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-27",
"last_updated": "2019-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "4926-154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.