Individual provider Active NPI

Jessica Lynne Nyquist, CCC-SLP

  • Speech-Language Pathologist
  • New Richmond, WI
National Provider Identifier
1992550248
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6499 Issued in WI
Practice address
150 W 1St St Ste 110
New Richmond, WI 54017-1742
Phone
(715) 888-1212
Fax
(715) 888-1232
NPI assigned
Apr 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 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 6499 WI Primary

Addresses

Primary practice location

150 W 1St St Ste 110
New Richmond, WI 54017-1742

Mailing address

150 W 1St St Ste 110
New Richmond, WI 54017-1780
Phone (715) 888-1212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240729003863 WI Practitioner - Qualified Speech Language Pathologist 8628514411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

150 W 1St St
Suite 110
New Richmond, WI 54017-1780
Phone (715) 888-1212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6499WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Every Voice Matters Speech and Feeding Therapy LLC CurrentSince Jul 31, 2024 Accepting new patients

Locations

150 W 1st St
Ste 110
New Richmond, WI 54017
Phone (715) 888-1212

Organizations & group practices 1

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": "1713484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1992550248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W 1ST ST STE 110",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540171780",
            "telephone_number": "715-888-1212",
            "fax_number": "715-888-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W 1ST ST STE 110",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540171742",
            "telephone_number": "715-888-1212",
            "fax_number": "715-888-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYQUIST",
        "first_name": "JESSICA",
        "middle_name": "LYNNE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "6499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Richmond, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.