Active NPI
Kaela Elizabeth Bader, MA, CCC-SLP
- Speech-Language Pathologist
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LICC-4179
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LICC-4179 | MN | MD | Speech-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.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Clinic/Center
- Minneapolis, MN
- NPI 1588543862
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.