Active NPI
Heidi Wolak-Faber, SLP
- Speech-Language Pathologist
- Buffalo, MN
National Provider Identifier
1265665186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7794
- Practice address
- 300 Catlin St
Suite 100
Buffalo, MN 55313-2012 - Phone
- (763) 682-2202
- Fax
- (763) 682-2439
- NPI assigned
- Aug 26, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 7794 | MN | Primary |
Addresses
Primary practice location
300 Catlin St
Suite 100
Buffalo, MN 55313-2012
Mailing address
300 Catlin St
Suite 100
Buffalo, MN 55313-2012
Phone (763) 682-2202
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251244800000",
"number": "1265665186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 CATLIN ST",
"address_2": "SUITE 100",
"city": "BUFFALO",
"state": "MN",
"postal_code": "553132012",
"telephone_number": "763-682-2202",
"fax_number": "763-682-2439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CATLIN ST",
"address_2": "SUITE 100",
"city": "BUFFALO",
"state": "MN",
"postal_code": "553132012",
"telephone_number": "763-682-2202",
"fax_number": "763-682-2439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLAK-FABER",
"first_name": "HEIDI",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-26",
"last_updated": "2009-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "7794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.