Rebecca Lou Lief-Kuster, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

00115741 Issued in MN

Practice address

4761 Coffee Lake Rd
Moose Lake, MN 55767-9207

Phone

(218) 341-0212

NPI assigned

Sep 8, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1124335302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4761 COFFEE LAKE RD",
            "city": "MOOSE LAKE",
            "state": "MN",
            "postal_code": "557679207",
            "telephone_number": "218-341-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4761 COFFEE LAKE RD",
            "city": "MOOSE LAKE",
            "state": "MN",
            "postal_code": "557679207",
            "telephone_number": "218-341-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEF-KUSTER",
        "first_name": "REBECCA",
        "middle_name": "LOU",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "00115741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Franklin Klingaman, PMHNP
• Andrea Karin Kratzke Nelson, MD
• Katherine Marie Laney, RN
• Gregory Raymond Larson, APRN, CNP
• Samantha Luci Leonard-Ndomb, M.D.
• Allyson Loupe, PT
• Elizabeth Luoma, SLP
• James Alan Mach Jr.
• Kathleen Marie Madden, RPH
• Amanda R Manley, LMFT

• Speech-Language Pathologist in Moose Lake, MN
• Providers in Moose Lake, 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 Sep 8, 2010; 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.