Susan Marie Carlin, MSE, CFY-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2974-154 Issued in WI

Practice address

505 Keller Ave S
Amery, WI 54001-1200

Phone

(715) 268-6900

Fax

(715) 268-6895

NPI assigned

Aug 5, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186272000000",
    "number": "1992996144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 KELLER AVE S",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540011200",
            "telephone_number": "715-268-6900",
            "fax_number": "715-268-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 KELLER AVE S",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540011200",
            "telephone_number": "715-268-6900",
            "fax_number": "715-268-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLIN",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSE, CFY-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "2974-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan S. Burns, DO
• Danielle R Busse-Quenan, DO
• Tami Jo Buus, PT
• Lilia Caamano Mendoza, CRNA
• Wendy Renee Campion, PT
• Aravind Chandra
• Chet Johnson Drug Clinical Services, LLC
• Chet Johnson Drugs, Inc.
• Chet Johnson Drugs, Inc.
• Bonita Anne Christensen, P.T.A.

• All providers in Amery, WI
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.