Individual provider Active NPI

Ali Mae Kuefler, MS, CCC-SLP

  • Speech-Language Pathologist
  • Hopkins, MN
National Provider Identifier
1093361040
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10088 Issued in MN
Practice address
1014 Mainstreet
Hopkins, MN 55343-7534
Phone
(952) 224-0707
Fax
(952) 224-1612
NPI assigned
Aug 15, 2019
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 10088 MN Primary

Addresses

Primary practice location

1014 Mainstreet
Hopkins, MN 55343-7534

Mailing address

1014 Mainstreet
Hopkins, MN 55343-7534
Phone (952) 224-0707

Other identifiers 1

IdentifierTypeStateIssuer
10088OtherMNMN STATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Hopkins

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241031002467 MN Practitioner - Qualified Speech Language Pathologist 7113450966 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
10088MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Autism & Communication Therapy Institute, Inc. Speech-Language Pathologist CurrentSince Aug 17, 2024 Accepting new patients

Locations

1014 Mainstreet
Hopkins, MN 55343
Phone (952) 224-0707

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1093361040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 MAINSTREET",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437534",
            "telephone_number": "952-224-0707",
            "fax_number": "952-224-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 MAINSTREET",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437534",
            "telephone_number": "952-224-0707",
            "fax_number": "952-224-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUEFLER",
        "first_name": "ALI",
        "middle_name": "MAE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "10088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN STATE LICENSE",
            "identifier": "10088",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Hopkins",
            "affiliation": "N",
            "address_1": "1014 Mainstreet",
            "city": "Hopkins",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553437534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hopkins, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.