Patricia Peichel, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9162 Issued in MN

Practice address

1772 Steiger Lake LN
Suite 100
Victoria, MN 55386-7723

Phone

(952) 443-9888

Fax

(952) 443-9804

NPI assigned

Aug 1, 2013

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 identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Kid Talk Inc

  • Speech-Language Pathologist
  • Victoria, MN
  • NPI 1245315027
  NPD (past)
• Kid Talk Inc

  • Speech-Language Pathologist
  • St Louis Park, MN
  • NPI 1700220613
  NPD (past)

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1437581345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1772 STEIGER LAKE LN",
            "address_2": "SUITE 100",
            "city": "VICTORIA",
            "state": "MN",
            "postal_code": "553867723",
            "telephone_number": "952-443-9888",
            "fax_number": "952-443-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1772 STEIGER LAKE LN",
            "address_2": "SUITE 100",
            "city": "VICTORIA",
            "state": "MN",
            "postal_code": "553867723",
            "telephone_number": "952-443-9888",
            "fax_number": "952-443-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEICHEL",
        "first_name": "PATRICIA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "4600402",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001442700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN",
            "identifier": "017J6KI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "76842",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1311578",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FISERV",
            "identifier": "16154051",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "169036",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "565581028803",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler James Okerlund, D.C.
• Dana Jo Oxendale, M.A.
• Laramee Jessen Paradise, CMT
• Rebecca A Pauly, BS DC
• Kathleen M Peglow
• Deborah Kay Perry, LICSW
• Deborah Peters, OTR
• Jill E Ponce, PHARMD
• Power of Life Chiropractic, P.a.
• Sara Provo, LPCC

• Speech-Language Pathologist in Victoria, MN
• Providers in Victoria, 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 Aug 1, 2013; 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.