Kristen Berger, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8565 Issued in MN

Practice address

10653 Wayzata Blvd Ste 200
Minnetonka, MN 55305-1543

Phone

(952) 224-1919

NPI assigned

Nov 1, 2021

Last updated

Nov 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kristen Laird Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1386309839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10653 WAYZATA BLVD STE 200",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051543",
            "telephone_number": "952-224-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10653 WAYZATA BLVD STE 200",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051543",
            "telephone_number": "952-224-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "KRISTEN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "8565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "LAIRD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Simone Natasha Bentley, APRN
• Deborah Lee Bento, APRN, AGNP
• Mary Sue Beran, MD
• Rebecca Berg
• Dawn M Berger, NP
• Gregory G Berglund, MD
• Jonathan Mark Bergly
• Michelle Louise Bergsrud, DDS
• Maria N. Bergstrand, MD
• Mark Bergstrand, M.D.

• Speech-Language Pathologist in Minnetonka, MN
• Providers in Minnetonka, 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 Nov 1, 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.

Verify at the official NPI Registry.