Martha Tegels, MA, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5914 Issued in MN

Practice address

1647 Seashell LN
Waconia, MN 55387-1054

Phone

(218) 851-3050

NPI assigned

Feb 8, 2016

Last updated

Feb 8, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Children's Therapy Works, Inc

  • Occupational Therapist
  • Saint Cloud, MN
  • NPI 1811077977

  Speech-Language Pathologist

  Medicare reassignment NPD
• Grazia, LLC

  dba Family Achievement Center of Central Minnesota

  • Occupational Therapist
  • Saint Cloud, MN
  • NPI 1184488280

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1235597097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1647 SEASHELL LANE",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553875041",
            "telephone_number": "218-851-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 SEASHELL LN",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871054",
            "telephone_number": "218-851-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEGELS",
        "first_name": "MARTHA",
        "credential": "MA, CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "5914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH AND HEARING ASSOCIATION",
            "identifier": "01041419",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN DEPT OF HEALTH",
            "identifier": "5914",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alycia Tadt
• Sarah Talbott, PA-C
• Michael James Tanguay, MA LP
• Kevin A Taylor, M.D.
• Kimberly Taylor, LADC
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Waconia)
• The Evangelical Lutheran Good Samaritan Society (Westview Acres)
• Julie Thompson
• Megan Thorkelson, OTR/L
• Timothy Thormodsgard, MD

• Speech-Language Pathologist in Waconia, MN
• Providers in Waconia, 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 Feb 8, 2016; 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.