Active NPI
Katie Moland
- Speech-Language Pathologist
- Marshall, MN
National Provider Identifier
1205067741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8524
- Practice address
- 1420 E College Dr Ste 704
Marshall, MN 56258-2065 - Phone
- (507) 532-3393
- NPI assigned
- Jul 31, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 8524 | MN | Primary |
Addresses
Primary practice location
1420 E College Dr Ste 704
Marshall, MN 56258-2065
Mailing address
1700 Thunderbird Rd Ste 2
Marshall, MN 56258-5503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8524 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BST Morris LLC | Speech-Language Pathologist | Past | Accepting new patients |
| Allina Health System | Past | Accepting new patients | |
| Big Stone Therapies, Inc | Speech-Language Pathologist | Past | Accepting new patients |
Interoperability endpoints
- kmoland184033@excellian.direct.allina.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Minneapolis, MN
- NPI 1467758813
-
- Physical Therapy Clinic/Center
- Big Stone City, SD
- NPI 1124044656
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319414400000",
"number": "1205067741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 THUNDERBIRD RD STE 2",
"city": "MARSHALL",
"state": "MN",
"postal_code": "562585503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 E COLLEGE DR STE 704",
"city": "MARSHALL",
"state": "MN",
"postal_code": "562582065",
"telephone_number": "507-532-3393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLAND",
"first_name": "KATIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-31",
"last_updated": "2011-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "8524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marshall, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.