MACY JO ERICKSON (NPI# 1083133433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083133433 |
| Entity Type | Individual |
| Full Name | MACY JO ERICKSON |
| Other Name | MACY JO WILDBERG |
| Credential | MS, SLP-CF |
| Practice Address |
520 N 28th Ave Ste 200 Wausau WI 54401-4101 |
| Practice Telephone | 7158454900 |
| Practice Fax Number | 7158454970 |
| Mailing Telephone | 7158454900 |
| Mailing Fax Number | 7158454970 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2017-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 4543-154 | WI | Speech, Language and Hearing Service Providers |
| Street Address |
520 N 28TH AVE STE 200 |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-4101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205242245 | Elizabeth Krueger | Counselor | 520 N 28th Ave Ste 200, Wausau, WI 54401-4101 | 2014-07-10 |
| 1619486867 | Paige Marie Buedler | Counselor | 520 N 28th Ave Ste 200, Wausau, WI 54401-4101 | 2017-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
| 1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
| 1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
| 1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
| 1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
| 1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
| Find all providers in zip 54401 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407281744 | Kristin G Zunker | Speech-Language Pathologist | 3402 Terrace Ct, Wausau, WI 54401-4914 | 2013-09-05 |
| 1013125152 | Cindy D Johnson | Speech-Language Pathologist | 2102 B Mud Hill Road, Wausau, FL 32463 | 2007-05-21 |
| 1669695193 | Mary E Below | Speech-Language Pathologist | 1000 Lake View Dr, Wausau, WI 54403-6706 | 2007-04-11 |
| 1376022624 | Shannon Erika Schield | Speech-Language Pathologist | 3107 Westhill Dr, Wausau, WI 54401-3774 | 2018-08-08 |
| 1093244998 | Hannah Lea Forcelle | Speech-Language Pathologist | 3107 Westhill Dr, Wausau, WI 54401-3774 | 2017-06-06 |
| 1932564531 | Nicole Zygarlicke | Speech-Language Pathologist | 1010 E Wausau Ave, Wausau, WI 54403 | 2015-12-23 |
| 1376930560 | Karla Renae Retrum | Speech-Language Pathologist | 1821 N 4th Ave, Wausau, WI 54401-1910 | 2015-04-25 |
| 1053728303 | Kirsten Schwartz | Speech-Language Pathologist | 333 Pine Ridge Blvd, Wausau, WI 54401-4102 | 2014-07-18 |
| 1215340351 | Michelle Debot | Speech-Language Pathologist | 3107 Westhill Dr, Wausau, WI 54401-3774 | 2014-06-06 |
| 1699102798 | Laura Mundschau | Speech-Language Pathologist | 1010 E Wausau Ave, Wausau, WI 54403-3101 | 2013-10-03 |
| Find all providers in WAUSAU | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.