Active NPI
Kennedy Weiland
- Speech-Language Pathologist
- Mitchell, SD
National Provider Identifier
1396121125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 593-PROV
- Practice address
- 501 W Havens Ave
Suite 103
Mitchell, SD 57301-4366 - Phone
- (605) 995-6044
- Fax
- (605) 995-6044
- NPI assigned
- Aug 4, 2015
- 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 | 593-PROV | SD | Primary |
Addresses
Primary practice location
501 W Havens Ave
Suite 103
Mitchell, SD 57301-4366
Mailing address
PO Box 1284
Mitchell, SD 57301-7284
Phone (605) 995-6044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
525 N Foster St
Mitchell, SD 57301-2966
Phone (605) 995-2234
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 593-PROV | SD | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera Queen of Peace | Current | Accepting new patients | |
| Avera Queen of Peace | Speech-Language Pathologist | Current | Accepting new patients |
| Avera Queen of Peace | Current | Accepting new patients | |
| Advanced Physical Therapy Inc. | Past | Accepting new patients | |
| Avera Queen of Peace | Past | Accepting new patients |
Locations
525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000
2100 N Kimball St
Mitchell, SD 57301
Phone (605) 996-8712
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- Mitchell, SD
- NPI 1205359031
-
- Rural Health Clinic/Center
- Parkston, SD
- NPI 1295758266
-
- Critical Access Hospital
- Wessington Springs, SD
- NPI 1316942204
-
- Physical Therapist
- Mitchell, SD
- NPI 1699779041
-
- Rural Health Clinic/Center
- Howard, SD
- NPI 1326043092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438646400000",
"number": "1396121125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1284",
"city": "MITCHELL",
"state": "SD",
"postal_code": "573017284",
"telephone_number": "605-995-6044",
"fax_number": "605-995-6044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W HAVENS AVE",
"address_2": "SUITE 103",
"city": "MITCHELL",
"state": "SD",
"postal_code": "573014366",
"telephone_number": "605-995-6044",
"fax_number": "605-995-6044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEILAND",
"first_name": "KENNEDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-04",
"last_updated": "2015-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SD",
"license": "593-PROV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mitchell, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.