Active NPI
Haley Radel, M.A. CCC-SLP
- Speech-Language Pathologist
- Maple Grove, MN
National Provider Identifier
1003796921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 529093
- Practice address
- 11670 Fountains Dr Ste 200
Maple Grove, MN 55369-7195 - Phone
- (612) 516-5397
- NPI assigned
- Sep 3, 2025
- Last updated
- Sep 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 529093 | MN | Primary |
Addresses
Primary practice location
11670 Fountains Dr Ste 200
Maple Grove, MN 55369-7195
Mailing address
11600 Arbor Lakes Pkwy N Unit 4428
Maple Grove, MN 55369-7672
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 529093 | MN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1003796921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11600 ARBOR LAKES PKWY N UNIT 4428",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553697672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11670 FOUNTAINS DR STE 200",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553697195",
"telephone_number": "612-516-5397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADEL",
"first_name": "HALEY",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-03",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "529093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maple Grove, MN
- Sandra Marie Quinn, M.D.
- Jennifer Lynn Quisberg, PT
- R.G. Gass Enterprises, Inc (Brightstar Health Care Maple Grove)
- R.G.Gass Enterprises Inc. (BrightStar of Maple Grove)
- Isabella Jean Racho
- Christopher Michael Rae, DDS, MD
- Jeffrey L. Raines
- Sneha Madhwa Raj, PSY.D
- Archana Ramaswamy, MD
- Shivnarine Ramdeo, PMHNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.