Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598977613 Individual Practitioner Female Practitioner

Beth Ann Anderson , MSCCC-SLP

Speech-Language Pathologist • Port Washington, WI

Professional Overview & Biography Verified Profile Summary

Beth Anderson, MSCCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Port Washington, WI. Practice services are available at 1119 N WISCONSIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1119 N Wisconsin St

Port Washington, WI 530741209

Telephone 2622845892
Associated Practice Facility / Clinic
🏢 Extendicare Homes, Inc. Facility NPI 1407927148

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Port Washington, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
17 Specialists

Practicing in Port Washington, WI (3821 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WI 2872-154

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
42581700 (WI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Sheri Bunyan , PT

Physical Therapist

NPI 1144354804

Physical Therapist

Brianna Zimmerman

Physical Therapist

NPI 1144698531
Meghan Cleereman

Physical Therapy Assistant

NPI 1235538851
Gretel Weiskopf , PTA

Physical Therapy Assistant

NPI 1295174100

Physical Therapist Assistant

Angela Damrow , PTA

Physical Therapy Assistant

NPI 1386882900

Physical Therapist Assistant

Anthony Ettmayer , PT

Physical Therapist

NPI 1457649352

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 16, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 16, 2012

Registered at 1119 N WISCONSIN ST, PORT WASHINGTON, WI 530741209 (Tel: 2622845892)

📍
Updated Business Mailing Address October 16, 2012

Registered at N164W20505 CURRANT LN, JACKSON, WI 530378987

👤
Provider Name / Credentials Updated October 16, 2012

Recorded as BETH ANDERSON, M.S.CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2012

Speech-Language Pathologist (License #2872-154 in WI)

🟢
Initial NPI Registration & Enumeration May 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598977613
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2007
Last Update: October 16, 2012
Sole Proprietor: No

Mailing Address

N164w20505 Currant Ln

Jackson, WI 530378987

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.