Antonio Caldwell, M.ED., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9068 Issued in MN

Practice address

3514 Lyndale Ave N
Minneapolis, MN 55412-2558

Phone

(612) 803-5038

NPI assigned

Aug 9, 2012

Last updated

Nov 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

Practice roles

Locations

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

• Midwest Mobile Fees Assessments

  • Speech-Language Pathologist
  • Minneapolis, MN
  • NPI 1396167987
  Medicare reassignment NPD Authorized official
• Onr National Speech Pathology Inc

  dba ONR National, Inc.

  • Rehabilitation Clinic/Center
  • Kensington, MD
  • NPI 1972965952

  MN

  Medicare reassignment NPD

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1093062986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 LYNDALE AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554122558",
            "telephone_number": "612-803-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 LYNDALE AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554122558",
            "telephone_number": "612-803-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "ANTONIO",
        "credential": "M.ED., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-09",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Analisa Maria Calderon, MD
• Anna Luise Calderon, MD
• Danielle Calderoni
• Isha Caldwell-Dees, LADC, LPCC
• Ancinetta Frances Caldwell
• Bailey Caldwell
• Robert Del Caldwell, M.D.
• Taylor Jillian Calhoun, PHARMD
• Adna Cali
• Adnan Cali

• Speech-Language Pathologist in Minneapolis, MN
• Providers in Minneapolis, 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 Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.