Individual provider Active NPI

Kaitlyn Rose Goette, MS/CCC-SLP

  • Speech-Language Pathologist
  • Victoria, MN
National Provider Identifier
1255181566
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
528546 Issued in MN
Practice address
1772 Stieger Lake LN
Victoria, MN 55386-7720
Phone
(952) 292-1967
Fax
(952) 443-9804
NPI assigned
Mar 27, 2024
Last updated
Nov 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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 528546 MN Primary

Addresses

Primary practice location

1772 Stieger Lake LN
Victoria, MN 55386-7720

Mailing address

PO Box 34
Victoria, MN 55386-0034
Phone (952) 292-1967

Other practice location 1

8758 Egan Dr
Savage, MN 55378-2561
Phone (952) 443-9888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240518000583 MN Practitioner - Qualified Speech Language Pathologist 9739520990 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
528546MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kid Talk Inc Speech-Language Pathologist CurrentSince Mar 15, 2024 Accepting new patients
Kid Talk Inc CurrentSince Mar 15, 2024 Accepting new patients

Locations

8758 Egan Dr
Savage, MN 55378
Phone (952) 226-2999

1772 Stieger Lake Ln
Victoria, MN 55386
Phone (952) 443-9888

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": "1711497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1255181566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34",
            "city": "VICTORIA",
            "state": "MN",
            "postal_code": "553860034",
            "telephone_number": "952-292-1967",
            "fax_number": "952-443-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1772 STIEGER LAKE LN",
            "city": "VICTORIA",
            "state": "MN",
            "postal_code": "553867720",
            "telephone_number": "952-292-1967",
            "fax_number": "952-443-9804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8758 Egan Dr",
            "address_purpose": "LOCATION",
            "city": "Savage",
            "state": "MN",
            "postal_code": "553782561",
            "country_code": "US",
            "telephone_number": "952-443-9888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOETTE",
        "first_name": "KAITLYN",
        "middle_name": "ROSE",
        "credential": "MS/CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-27",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "528546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.