Active NPI
Kelli Kaiser, MS/CCC-SLP
- Speech-Language Pathologist
- Germantown, WI
National Provider Identifier
1316959653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1291-154
- Practice address
- W173N10915 Bernies Way
Germantown, WI 53022-4043 - Phone
- (262) 509-3300
- NPI assigned
- Aug 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 1291-154 | WI | Primary |
Addresses
Primary practice location
W173N10915 Bernies Way
Germantown, WI 53022-4043
Mailing address
W173N10915 Bernies Way
Germantown, WI 53022-4043
Phone (262) 509-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42777500 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kkaiser58393@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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
- Credentials
- Master of Science
Interoperability endpoints
- kkaiser58393@direct.myadvocateaurora.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1316959653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W173N10915 BERNIES WAY",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530224043",
"telephone_number": "262-509-3300",
"fax_number": "262-251-7359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W173N10915 BERNIES WAY",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530224043",
"telephone_number": "262-509-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAISER",
"first_name": "KELLI",
"credential": "MS/CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "1291-154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42777500",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kkaiser58393@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "N84W16889 Menomonee Ave",
"city": "Menomonee Falls",
"state": "WI",
"country_code": "US",
"postal_code": "530512810",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "N84W16889 Menomonee Ave",
"city": "Menomonee Falls",
"state": "WI",
"country_code": "US",
"postal_code": "530512810",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Germantown, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.