JACQUELYN WAGNER


Address: 833 N 26th St, Milwaukee, WI 53233-1507
Phone: 4143447676

JACQUELYN WAGNER (NPI# 1134290935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134290935
Entity Type Individual
Full Name JACQUELYN WAGNER
Credential MS CCC-SLP
Practice Address 833 N 26th St
Milwaukee
WI 53233-1507
Mailing Address 833 N 26th Street
Milwaukee
WI 53233-4345
Practice Telephone 4143447676
Mailing Telephone 4143447676
Enumeration Date 2006-11-13
Last Update Date 2008-09-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 2978154 WI Speech, Language and Hearing Service Providers
N 235Z00000X Speech-Language Pathologist 242.000217 IL Speech, Language and Hearing Service Providers

Other Providers JACQUELYN WAGNER

NPI Name Taxonomy Address Enumeration
1235793100 Jacquelyn Christine Wagner Pediatrics 1625 N Campbell, Tucson, AZ 85719 2019-04-26

Office Location

Street Address 833 N 26TH ST
City MILWAUKEE
State WI
Zip Code 53233-1507

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912925033 Michele Andrea Nowak-lareau Speech-Language Pathologist 833 N 26th St, Milwaukee, WI 53233-1507 2006-07-17
1154942639 Kari Lois Walters Counselor 833 N 26th St, Milwaukee, WI 53233-1507 2020-05-06
1700410503 Ana Solano-pacheco Counselor 833 N 26th St, Milwaukee, WI 53233-1507 2020-03-02
1780242826 Jennifer L Tomlin Counselor 833 N 26th St, Milwaukee, WI 53233-1507 2019-06-04
1275002164 Courtney Marie Clark Counselor 833 N 26th St, Milwaukee, WI 53233-1507 2018-11-20
1235604950 Cassandra Elizabeth Hirsch Speech-Language Pathologist 833 N 26th St, Milwaukee, WI 53233-1507 2018-10-09
1184135642 Rachael Elizabeth Hefel Speech-Language Pathologist 833 N 26th St, Milwaukee, WI 53233-1507 2017-10-23
1093226292 Ellen Mccue Speech-Language Pathologist 833 N 26th St, Milwaukee, WI 53233-1507 2017-10-16
1306366786 Michelle Perez Speech-Language Pathologist 833 N 26th St, Milwaukee, WI 53233 2017-06-26
1093268187 Katthleen Llaurado Speech-Language Pathologist 833 N 26th St, Milwaukee, WI 53233-1507 2016-07-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104454750 Henok Desta Hardilo Student in an Organized Health Care Education/Training Program Aurora Sinai Medical Center 945 N 12th Street, Milwaukee, WI 53233 2020-03-30
1821633314 Ann E Millard Occupational Therapist 560 N. 16th Street, Room 214a, Milwaukee, WI 53233 2019-11-08
1306480918 Teng Kai Ong Dentist 1801 West Wisconsin Ave., Milwaukee, WI 53233 2019-11-06
1356800478 Nebiyu Abera Tilahun Student in an Organized Health Care Education/Training Program Aurora Sinai Medical Center, 945 N. 12th Street, Milwaukee, WI 53233 2019-03-18
1548748387 Emily Claire Goetz Physical Therapist 945 N. 12th St. Suite 1100, Milwaukee, WI 53233 2018-08-03
1801373378 Froedtert & The Medical College of Wisconsin Community Physicians Non-Pharmacy Dispensing Site 1721 W Canal St, Milwaukee, WI 53233 2018-07-26
1184170706 Lauren Troll Physical Therapist 925 N 12th Street, Milwaukee, WI 53233 2016-09-01
1942694401 Iryna Nemesh Internal Medicine 1020 N 12th St Fl 2, Milwaukee, WI 53233 2015-03-23
1649676032 Matina Angelopoulou Dentist 1801 West Winsconsin Ave, Milwaukee, WI 53233 2014-11-12
1780007831 John Ladisa Technician, Other 1637 W. Wisconsin Ave, Room 311, Milwaukee, WI 53233 2014-01-27
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689299489 Chandler Nies Speech-Language Pathologist 139 S 72nd St # A, Milwaukee, WI 53214-1522 2020-06-08
1518590819 Abigail Decook Speech-Language Pathologist 713a E Townsend St, Milwaukee, WI 53212-1633 2020-02-15
1043704018 Emily Dressler Speech-Language Pathologist 161 W Wisconsin Ave Apt 303, Milwaukee, WI 53203-2621 2018-06-21
1609394220 Aaron Park Speech-Language Pathologist 3540 S. 43rd St., Milwaukee, WI 53220 2017-09-04
1164947420 Lauren Donile Speech-Language Pathologist 1012 E Wright St Apt 3, Milwaukee, WI 53212-3096 2017-08-08
1497280150 Lindsay Haumschild Speech-Language Pathologist 3033 N Humboldt Blvd, Milwaukee, WI 53212-2225 2017-05-01
1528517232 Therese Simonis Speech-Language Pathologist 2390 N Lake Drive, Milwaukee, WI 53211 2016-09-23
1932552247 Courtney Miklos Speech-Language Pathologist 1635 N Water St, Apartment #513, Milwaukee, WI 53202-2061 2016-07-21
1205288214 Amanda Thompson Speech-Language Pathologist 8505 W Center St Apt 3, Milwaukee, WI 53222-4757 2016-07-01
1134502925 Zachary Daniel Tillotson Speech-Language Pathologist 5652 S 23rd St, Milwaukee, WI 53221-4208 2015-06-30
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Competitor

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City MILWAUKEE
Zip Code 53233

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Dataset Information

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.

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