Individual provider Active NPI

Haylee Neuhaus

  • Speech-Language Pathologist
  • Maplewood, MN
National Provider Identifier
1396259339
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
528986 Issued in MN
Practice address
2945 Hazelwood St Ste 320
Maplewood, MN 55109-1244
Phone
(612) 273-6228
NPI assigned
Nov 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP.0003014 CO
Speech-Language Pathologist 235Z00000X 528986 MN Primary

Addresses

Primary practice location

2945 Hazelwood St Ste 320
Maplewood, MN 55109-1244

Mailing address

3515 Back Country Dr
North Las Vegas, NV 89031-0529
Phone (320) 420-7890

Other practice location 1

3060 29th St Apt 2
Boulder, CO 80301-1353
Phone (320) 420-7890

Other practice location 2

3515 Back Country Dr
North Las Vegas, NV 89031-0529
Phone (320) 420-7890

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240916002307 MN Practitioner - Qualified Speech Language Pathologist 3375084528 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SLP.0003014COMDSpeech-Language Pathologist
528986MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Healtheast Outpatient Services, LLC Speech-Language Pathologist CurrentSince Oct 11, 2024 Accepting new patients
Fairview Express Care CurrentSince Oct 11, 2024 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Express Care CurrentSince Oct 11, 2024 Accepting new patients
Fairview Health Services Past Accepting new patients

Locations

2945 Hazelwood St
Ste 320
Maplewood, MN 55109
Phone (612) 273-1172

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740

9680 Tamarack Rd
Ste 130
Woodbury, MN 55125
Phone (612) 273-1172

1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1396259339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 BACK COUNTRY DR",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890310529",
            "telephone_number": "320-420-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 HAZELWOOD ST STE 320",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091244",
            "telephone_number": "612-273-6228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3060 29th St Apt 2",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803011353",
            "country_code": "US",
            "telephone_number": "320-420-7890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3515 Back Country Dr",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890310529",
            "country_code": "US",
            "telephone_number": "320-420-7890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEUHAUS",
        "first_name": "HAYLEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-29",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0003014",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "528986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.