Anastazia Rochelle Badeau, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6143 Issued in MN

Practice address

1801 American Blvd E Ste 8
Bloomington, MN 55425-1230

Phone

(612) 331-9413

Fax

(651) 767-8200

NPI assigned

Apr 10, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1508252008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 AMERICAN BLVD E STE 8",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251230",
            "telephone_number": "612-331-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 AMERICAN BLVD E STE 8",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251230",
            "telephone_number": "612-331-9413",
            "fax_number": "651-767-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADEAU",
        "first_name": "ANASTAZIA",
        "middle_name": "ROCHELLE",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "6143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey Patrick Babcock, MD
• Steven Babcock, DPT
• Mark W. Bachman, D.D.S.
• Back to Health Chiropractic, PA
• Hala D Bade
• Bernard Baier, M.D.
• Annie Jean Monica Baierl
• Samir Ahmad Baig, MD
• Zhamiah Bailey
• Habsa Hadid Bakari

• Speech-Language Pathologist in Bloomington, MN
• Providers in Bloomington, 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 2, 2022; 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.