Individual provider Active NPI

Katherine Sigfrinius, CCC-SLP

  • Speech-Language Pathologist
  • Grand Rapids, MN
National Provider Identifier
1124744412
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
518142 Issued in MN
Practice address
111 SE 3Rd St
Grand Rapids, MN 55744-3663
Phone
(218) 999-1566
Fax
(218) 999-1571
NPI assigned
Oct 18, 2022
Last updated
Oct 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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 518142 MN Primary

Addresses

Primary practice location

111 SE 3Rd St
Grand Rapids, MN 55744-3663

Mailing address

2201 S Highway 169 Apt 104
Grand Rapids, MN 55744-4239
Phone (612) 812-9620

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katie.sigfrinius@fairview.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241015002630 AZ Practitioner - Qualified Speech Language Pathologist 3779015730 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
518142MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Solace Pediatric Healthcare Therapy Services Az, Inc. Speech-Language Pathologist CurrentSince Aug 9, 2024 Accepting new patients
Pioneer Pet, LLC Past Accepting new patients

Locations

1930 E Southern Ave
Tempe, AZ 85282
Phone (480) 456-0719

60 E Rio Salado Pkwy
Ste 900
Tempe, AZ 85281
Phone (480) 456-0719

Organizations & group practices 2

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": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1124744412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 S HIGHWAY 169 APT 104",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444239",
            "telephone_number": "612-812-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SE 3RD ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443663",
            "telephone_number": "218-999-1566",
            "fax_number": "218-999-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGFRINIUS",
        "first_name": "KATHERINE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "518142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katie.sigfrinius@fairview.org",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "111 SE 3rd St",
            "city": "Grand Rapids",
            "state": "MN",
            "country_code": "US",
            "postal_code": "557443663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.