Individual provider Active NPI

Hailey G Huseth

  • Speech-Language Pathologist
  • Rochester, MN
National Provider Identifier
1306581707
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
24 8TH St NW
Rochester, MN 55901-6817
Phone
(507) 289-4031
NPI assigned
Apr 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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 Primary

Addresses

Primary practice location

24 8TH St NW
Rochester, MN 55901-6817

Mailing address

3146 Sogn Valley TRL
Dennison, MN 55018-7749
Phone (507) 301-4767

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240220002078 MN Practitioner - Qualified Speech Language Pathologist 1658715495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Full Potential Therapy, LLCGroup PAC ID 3274935465, 2 clinicians

Practice addresses (Care Compare)

1325 Bollenbacher Dr
Northfield, MN 55057-3607
Phone (507) 321-8695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Full Potential Therapy, LLC CurrentSince Dec 24, 2023 Accepting new patients

Locations

1310 Bollenbacher Dr
Northfield, MN 55057
Phone (507) 321-8695

1325 Bollenbacher Dr
Northfield, MN 55057
Phone (507) 321-8695

Organizations & group practices 1

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": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1306581707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3146 SOGN VALLEY TRL",
            "city": "DENNISON",
            "state": "MN",
            "postal_code": "550187749",
            "telephone_number": "507-301-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 8TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559016817",
            "telephone_number": "507-289-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSETH",
        "first_name": "HAILEY",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.