Individual provider Active NPI

Kaela Elizabeth Bader, MA, CCC-SLP

  • Speech-Language Pathologist
  • Edina, MN
National Provider Identifier
1487593570
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LICC-4179 Issued in MN
Practice address
6545 France Ave S
Edina, MN 55435-2131
Phone
(952) 848-5600
NPI assigned
Mar 25, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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 LICC-4179 MN Primary

Addresses

Primary practice location

6545 France Ave S
Edina, MN 55435-2131

Mailing address

750 Otto Ave Unit 2213
Saint Paul, MN 55102-3203

Other practice location 1

2945 Hazelwood St Ste 100
Maplewood, MN 55109-1242
Phone (651) 232-7800

Other practice location 2

9220 Bass Lake Rd Ste 260
New Hope, MN 55428-3019
Phone (763) 533-0363

Other practice location 3

1825 Woodwinds Dr
Woodbury, MN 55125-2202
Phone (651) 232-6700

Other practice location 4

3305 Central Park Village Dr
Eagan, MN 55121-7707
Phone (651) 406-8860

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260520000645 MN Practitioner - Qualified Speech Language Pathologist 1355810284 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1700 University Ave W
Saint Paul, MN 55104-3727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LICC-4179MNMDSpeech-Language Pathologist

Organizations & group practices 2

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": "1774396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1487593570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 OTTO AVE UNIT 2213",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551023203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 FRANCE AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352131",
            "telephone_number": "952-848-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2945 Hazelwood St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "MN",
            "postal_code": "551091242",
            "country_code": "US",
            "telephone_number": "651-232-7800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9220 Bass Lake Rd Ste 260",
            "address_purpose": "LOCATION",
            "city": "New Hope",
            "state": "MN",
            "postal_code": "554283019",
            "country_code": "US",
            "telephone_number": "763-533-0363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1825 Woodwinds Dr",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551252202",
            "country_code": "US",
            "telephone_number": "651-232-6700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3305 Central Park Village Dr",
            "address_purpose": "LOCATION",
            "city": "Eagan",
            "state": "MN",
            "postal_code": "551217707",
            "country_code": "US",
            "telephone_number": "651-406-8860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADER",
        "first_name": "KAELA",
        "middle_name": "ELIZABETH",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "LICC-4179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.