Midwest Mobile Fees Assessments

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9068 Issued in MN

Legal business name

MIDWEST MOBILE FEES ASSESSMENTS

Practice address

3514 Lyndale Ave N
Minneapolis, MN 55412-2558

Phone

(612) 803-5038

NPI assigned

Jan 15, 2014

Last updated

Nov 1, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Antonio Webb Caldwell II, M.ED., CCC-SLPNPI 1093062986

Title

President

Phone

(612) 803-5038

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Antonio Caldwell, M.ED., CCC-SLP

  • Speech-Language Pathologist
  • Minneapolis, MN
  • NPI 1093062986
  Medicare reassignment NPD Authorized official
• Robert Joshua Anderson, CCC-SLP

  • Speech-Language Pathologist
  • Minneapolis, MN
  • NPI 1558026062
  NPD
• La Tesha Sharee Brown, MSN, BSN, RN

  • Speech-Language Pathologist
  • Minneapolis, MN
  • NPI 1801671953

  Single Specialty

  NPD
• Kathleen Engebretson, OTR

  • Occupational Therapist
  • Minneapolis, MN
  • NPI 1881359362
  NPD
• Wendy Reinhardt, MS, CCC-SLP

  • Speech-Language Pathologist
  • Maple Grove, MN
  • NPI 1841672680
  NPD

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1396167987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 LYNDALE AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554122558",
            "telephone_number": "612-803-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 LYNDALE AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554122558",
            "telephone_number": "612-803-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MOBILE FEES ASSESSMENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "WEBB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-803-5038",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.ED., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Minneapolis, MN
• Providers in Minneapolis, 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.