MRS. INGRID ANN FREITAG (NPI# 1083868244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083868244 |
| Entity Type | Individual |
| Full Name | MRS. INGRID ANN FREITAG |
| Credential | M.S. CCC-SLP |
| Practice Address |
1040 Pilgrim Way Green Bay WI 54304-5028 |
| Mailing Address |
3948 Garrett St De Pere WI 54115-1650 |
| Practice Telephone | 9204053522 |
| Mailing Telephone | 9203380474 |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2012-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2596-154 | WI | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42586000 | 05 |
| Street Address |
1040 PILGRIM WAY |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304-5028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982717898 | Tina Meyer | Physical Therapy Assistant | 1040 Pilgrim Way, Green Bay, WI 54304-5028 | 2006-08-16 |
| 1891277299 | Kayla Beth Burton | Occupational Therapist | 1040 Pilgrim Way, Green Bay, WI 54304-5028 | 2018-08-31 |
| 1073030698 | Alisa Irwin | Occupational Therapy Assistant | 1040 Pilgrim Way, Green Bay, WI 54304-5028 | 2017-08-24 |
| 1427339860 | Colleen Elizabeth Schmidt | Physical Therapist | 1040 Pilgrim Way, Green Bay, WI 54304-5028 | 2011-08-30 |
| 1780979724 | Jessica Lynn Atkinson | Physical Therapy Assistant | 1040 Pilgrim Way, Green Bay, WI 54304-5028 | 2011-06-17 |
| 1700184272 | Sarah Crystal Buser | Occupational Therapy Assistant | 1040 Pilgrim Way, Green Bay, WI 54304-5028 | 2011-03-08 |
| 1194022731 | Jennifer Sitzman | Physical Therapy Assistant | 1040 Pilgrim Way, Green Bay, WI 54304 | 2011-02-17 |
| 1184931511 | Kayla Martha Henkel | Occupational Therapy Assistant | 1040 Pilgrim Way, Green Bay, WI 54304-5028 | 2010-09-07 |
| 1932410446 | Joan F Thiede | Physical Therapy Assistant | 1040 Pilgrim Way, Woodside Lutheran Home, Green Bay, WI 54304 | 2010-06-30 |
| 1912237611 | Karla Flores | Occupational Therapy Assistant | 1040 Pilgrim Way, Green Bay, WI 54304-5028 | 2010-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| Find all providers in zip 54304 | ||||
| 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 |
|---|---|---|---|---|
| 1154985075 | Delilah Koehler | Speech-Language Pathologist | 719 Fredrick Ct Apt 7, Green Bay, WI 54313-3416 | 2019-04-25 |
| 1962872507 | Juliette Rabelhofer | Speech-Language Pathologist | 425 S Monroe Ave, Apt 3l, Green Bay, WI 54301-4000 | 2015-09-25 |
| 1699142000 | Kia Schilling | Speech-Language Pathologist | 1375 Villa Park Cir Apt 6, Green Bay, WI 54302-6114 | 2015-09-01 |
| 1013310564 | Abigail Sarah Mcclellan | Speech-Language Pathologist | 1114 Chicago St, Green Bay, WI 54301-3803 | 2014-09-29 |
| 1821367442 | Susan Kuensli Agard | Speech-Language Pathologist | 1373 Servais St, Green Bay, WI 54304-3135 | 2011-12-28 |
| 1932411170 | Margaret Ann Keiler | Speech-Language Pathologist | 2099 Garden Grove Ln, Green Bay, WI 54311-8701 | 2010-07-03 |
| 1851531578 | Cher Nicolle Gunderson | Speech-Language Pathologist | 1220 Stuart St, Green Bay, WI 54301-4313 | 2009-02-21 |
| 1235389842 | Brooke Hermus | Speech-Language Pathologist | 926 Willard Dr Ste 114, Green Bay, WI 54304-5071 | 2008-09-19 |
| 1467601344 | Melissa Lea Socha | Speech-Language Pathologist | 2153 School Lane, Suamiro Elementary, Green Bay, WI 54313 | 2008-09-16 |
| 1568639664 | Dawn Marie La Luzerne | Speech-Language Pathologist | 2231 Maccaux Dr, Green Bay, WI 54302-4531 | 2008-05-08 |
| Find all providers in GREEN BAY | ||||
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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.