Individual provider Active NPI

Mackenzie Mae Zwiebel

  • Speech-Language Pathologist
  • Burnsville, MN
National Provider Identifier
1194388272
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
528871 Issued in MN
Practice address
14301 Ewing Ave S
Burnsville, MN 55306-4885
Phone
(952) 746-5350
NPI assigned
Apr 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Speech-Language Pathologist 235Z00000X 528871 MN Primary

Addresses

Primary practice location

14301 Ewing Ave S
Burnsville, MN 55306-4885

Mailing address

14301 Ewing Ave S
Burnsville, MN 55306-4885
Phone (952) 746-5365

Other practice location 1

901 Caledonia St
LA Crosse, WI 54603-2616
Phone (952) 746-5350

Other practice location 2

223 Center St
Winona, MN 55987-3595
Phone (952) 746-5350

Other practice location 3

5501 Feltl Rd
Minnetonka, MN 55343-3944
Phone (952) 746-5350

Other practice location 4

4255 Lexington Ave N
Arden Hills, MN 55126-6164
Phone (952) 746-5350

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240812003294 MN Practitioner - Qualified Speech Language Pathologist 9830637677 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
528871MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Excellence Inc Speech-Language Pathologist CurrentSince Jun 17, 2024 Accepting new patients

Locations

14301 Ewing Ave S
Burnsville, MN 55306
Phone (952) 746-0222

5501 Feltl Rd
Minnetonka, MN 55343
Phone (952) 746-0222

4255 Lexington Ave N
Saint Paul, MN 55126
Phone (651) 773-5988

223 Center St
Winona, MN 55987
Phone (507) 474-4840

901 Caledonia St
La Crosse, WI 54603
Phone (608) 785-4100

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1194388272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14301 EWING AVE S",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553064885",
            "telephone_number": "952-746-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14301 EWING AVE S",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553064885",
            "telephone_number": "952-746-5350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Caledonia St",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "WI",
            "postal_code": "546032616",
            "country_code": "US",
            "telephone_number": "952-746-5350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "223 Center St",
            "address_purpose": "LOCATION",
            "city": "Winona",
            "state": "MN",
            "postal_code": "559873595",
            "country_code": "US",
            "telephone_number": "952-746-5350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5501 Feltl Rd",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553433944",
            "country_code": "US",
            "telephone_number": "952-746-5350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4255 Lexington Ave N",
            "address_purpose": "LOCATION",
            "city": "Arden Hills",
            "state": "MN",
            "postal_code": "551266164",
            "country_code": "US",
            "telephone_number": "952-746-5350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZWIEBEL",
        "first_name": "MACKENZIE",
        "middle_name": "MAE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "528871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.