Kimberly Sue Graff, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9082 Issued in MN

Practice address

8265 N Shore TRL N
Forest Lake, MN 55025-8338

Phone

(701) 770-5048

NPI assigned

May 27, 2013

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 names 1

• Kimberly Sue McCauley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1369612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369612800000",
    "number": "1285071670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8265 N SHORE TRL N",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550258338",
            "telephone_number": "701-770-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8265 N SHORE TRL N",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550258338",
            "telephone_number": "701-770-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAFF",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-27",
        "last_updated": "2013-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "MCCAULEY",
            "middle_name": "SUE",
            "credential": "M.S. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chestevia Gibson, PHARMD
• Amy Marie Goehner, PT
• Michael J Goodoien, DDS
• Gary Goolsbee, LICSW
• Jordyn Maie Goossen
• Grand St Paul CVS LLC (CVS Pharmacy #16594)
• Sara Greenbaum, LADC
• Daniel Gruetzman, PHARMD
• Erica Gunderson, HCHI, HD
• Susan Stephanie Gustafson, LPN

• Speech-Language Pathologist in Forest Lake, MN
• Providers in Forest Lake, 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 May 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.