Kirsten Landmark, MS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9442 Issued in MN

Practice address

3835 Supreme CT NW
Suite 2
Bemidji, MN 56601-4446

Phone

(218) 444-8280

Fax

(218) 444-8337

NPI assigned

Jun 24, 2016

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, ND2 enrollments

Enrollment records 2

Specialty

Qualified Speech Language Pathologist

Education

University of North Dakota School of Medicine, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Little Miracles, Inc.

  • Multi-Specialty Clinic/Center
  • Grand Forks, ND
  • NPI 1821110982
  Medicare reassignment

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1114378742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 SUPREME CT NW",
            "address_2": "SUITE 2",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014446",
            "telephone_number": "218-444-8280",
            "fax_number": "218-444-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 SUPREME CT NW",
            "address_2": "SUITE 2",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014446",
            "telephone_number": "218-444-8280",
            "fax_number": "218-444-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDMARK",
        "first_name": "KIRSTEN",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Region Bone & Joint Surgeons
• Lakes Region Chemical Dependency LLC
• Lakeview Dental Clinic
• Lakeview Health and Wellness PLLC
• Mary H. Landes, C.R.N.A.
• Lacey Ann Langerak, PAC
• Paul J Lappinga, MD
• Jeffrey Large, MPT
• Madisson Michelle Larson
• Sadie Lynn Larson

• Speech-Language Pathologist in Bemidji, MN
• Providers in Bemidji, 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 24, 2016; 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.