Kaylen Whetstone, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8361 Issued in MN

Practice address

6776 Lake Dr
220
Lino Lakes, MN 55014-1191

Phone

(651) 784-7007

Fax

(651) 784-7992

NPI assigned

Jul 2, 2008

Sex

Female

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

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Advance Speech Therapy, LLC

  • Speech-Language Pathologist
  • Lino Lakes, MN
  • NPI 1215144654
  Medicare reassignment
• Advance Occupational Therapy, LLC

  • Occupational Therapist
  • Lino Lakes, MN
  • NPI 1174730899
  NPD

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448409600000",
    "number": "1104089929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6776 LAKE DR",
            "address_2": "220",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550141191",
            "telephone_number": "651-784-7007",
            "fax_number": "651-784-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6776 LAKE DR",
            "address_2": "220",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550141191",
            "telephone_number": "651-784-7007",
            "fax_number": "651-784-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHETSTONE",
        "first_name": "KAYLEN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2015-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "8361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Charles Tressler, M.D
• Tonya Lee Van Ee, RN
• Dale Herbert Vancil, D. P, M.
• Matthew Watnemo, LPCC
• Charyl Renee Weingarten, DDS
• Katia J Wilcox
• Loren Max Wilkes, MD
• Sarah Elizabeth Williams, M.A. CCC-SLP
• Fred Anthony Zappa III
• Kelsi Zellinger, PT

• Speech-Language Pathologist in Lino Lakes, MN
• Providers in Lino Lakes, 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 25, 2015; 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.