Kylie Rose Hagen, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

30 S Behl St
Appleton, MN 56208-1616

Phone

(320) 289-8503

Fax

(320) 289-1797

NPI assigned

Jun 30, 2021

Last updated

Jun 30, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1396315461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CROSS ST",
            "city": "BIG STONE CITY",
            "state": "SD",
            "postal_code": "572168237",
            "telephone_number": "605-541-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S BEHL ST",
            "city": "APPLETON",
            "state": "MN",
            "postal_code": "562081616",
            "telephone_number": "320-289-8503",
            "fax_number": "320-289-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "KYLIE",
        "middle_name": "ROSE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah S Colon, APRN, CNP
• Conroy Eye Care, PA
• Hannah Marjorie Disinger, PA-C
• Jessica Frederiksen, PHARMD
• Linda Yen Giang-Carlson, D.D.S.
• Jordan Rae Halvorson, PT
• Brittany Lee Hamann, PSYD, MA, LPCC
• Romulo V Kabatay, M.D.
• Liebe Drug Inc
• Jana Marie Lilyerd, ANP/GNP

• Speech-Language Pathologist in Appleton, MN
• Providers in Appleton, 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 Jun 30, 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.