Individual provider Active NPI

Crystal Marie Meier, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Minneapolis, MN
National Provider Identifier
1457479222
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7885 Issued in MN
Practice address
3737 Bryant Ave S
Minneapolis, MN 55409-1019
Phone
(612) 827-8866
Fax
(612) 827-8852
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7885 MN Primary

Addresses

Primary practice location

3737 Bryant Ave S
Minneapolis, MN 55409-1019

Mailing address

3060 Shields Dr Apt 102
Eagan, MN 55121-1338
Phone (507) 381-6689

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211112002306 MN Practitioner - Qualified Speech Language Pathologist 5395134316 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7885MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Therapy MN Speech-Language Pathologist CurrentSince Mar 1, 2022 Accepting new patients

Locations

6633 N Lincoln Ave
Lincolnwood, IL 60712
Phone (773) 399-9570

80 S 8th St
Minneapolis, MN 55402

Organizations & group practices 1

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457479222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 SHIELDS DR APT 102",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211338",
            "telephone_number": "507-381-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 BRYANT AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554091019",
            "telephone_number": "612-827-8866",
            "fax_number": "612-827-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEIER",
        "first_name": "CRYSTAL",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "7885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.