Manda Florence Riebel, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6308 Issued in MN

Practice address

11091 Jason Ave NE Ste 2
Albertville, MN 55301-4703

Phone

(763) 744-4164

Fax

(763) 497-0679

NPI assigned

Nov 23, 2016

Last updated

Feb 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aegis Group Practice LLC

  • Physical Therapist
  • Little Falls, MN
  • NPI 1972197382

  Speech-Language Pathologist

  NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Fort Smith, AR
  • NPI 1417340126

  Speech-Language Pathologist

  NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Indian Harbour Beach, FL
  • NPI 1932072030

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1477096428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4690 LANNON COURT NE",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "55376",
            "telephone_number": "763-913-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11091 JASON AVE NE STE 2",
            "city": "ALBERTVILLE",
            "state": "MN",
            "postal_code": "553014703",
            "telephone_number": "763-744-4164",
            "fax_number": "763-497-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEBEL",
        "first_name": "MANDA",
        "middle_name": "FLORENCE",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-23",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "6308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Peterson
• Lauren Kristine Phipps, D.D.S.
• Heather Lynn Pokrzywinski, PA-C
• Zainab Ramoni
• Wendy Rehnstrand, MS, CCC
• Heidi Sawdey, D.C.
• Stephanie Scherber
• Meaghan Schmitt
• Mary Schroter, MD
• Rachel Schuler Borer, PT

• Speech-Language Pathologist in Albertville, MN
• Providers in Albertville, 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 Feb 17, 2020; 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.