Theresa Danielle Baranick, CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

518194 Issued in MN

Practice address

1400 Madison Ave Ste 100Aa
Mankato, MN 56001-5465

Phone

(507) 594-2600

Fax

(507) 594-4810

NPI assigned

Jul 13, 2021

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": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1144892779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 JEWEL DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551259001",
            "telephone_number": "651-278-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MADISON AVE STE 100AA",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015465",
            "telephone_number": "507-594-2600",
            "fax_number": "507-594-4810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Marsh St",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "560014752",
            "country_code": "US",
            "telephone_number": "507-625-4031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARANICK",
        "first_name": "THERESA",
        "middle_name": "DANIELLE",
        "credential": "CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "518194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Jane Bailey, PA-C
• Lucila Angelina Baires
• Casey Baker, MS, LMFT
• Brianna Bakken, PHARMD
• Evelyn E Bakken, CRNA
• Molly Barber
• Toure Barksdale, M.D.
• Abby Jean Barlament, MSW, LICSW
• Christina Joy Barnett, L.A.D.C.
• Katarina Barrett-Krzmarzick, MSW, LICSW

• Speech-Language Pathologist in Mankato, MN
• Providers in Mankato, 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 Aug 10, 2021; 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.