Caitlin McClung Hiemenz, M.S. SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10069 Issued in MN

Practice address

12 1St Ave S
Buffalo, MN 55313-1409

Phone

(763) 682-7774

NPI assigned

Jun 21, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Caitlin McClung Kruchten Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Strive Therapy Services Inc.

  • Occupational Therapist
  • Buffalo, MN
  • NPI 1134491798
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1053805093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3328 26TH AVE S",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563015855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 1ST AVE S",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553131409",
            "telephone_number": "763-682-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIEMENZ",
        "first_name": "CAITLIN",
        "middle_name": "MCCLUNG",
        "name_prefix": "Mrs.",
        "credential": "M.S. SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "10069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "KRUCHTEN",
            "middle_name": "MCCLUNG",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hendrickson Chiropractic PA
• Aaron John Hendrickson, DC
• Kara Marie Hendrickson, MA CF-SLP
• Melissa Rae Hendrickson, RD, LD
• Edward Henk, DDS
• Kelly Hildre, MSW, LICSW
• Ashlin Hodgson, CCC-SLP
• Lorraine Hoffman, LP
• Matthew Hoffman, M.D.
• Kathleen Holmes

• Speech-Language Pathologist in Buffalo, MN
• Providers in Buffalo, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.