Active NPI
Marcia Gaetz
- Speech-Language Pathologist
- Sartell, MN
National Provider Identifier
1538076997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 436221
- Practice address
- 1500 Sierra CT W
Sartell, MN 56377-4795 - Phone
- (320) 241-4110
- NPI assigned
- Aug 24, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 436221 | MN | Primary |
Addresses
Primary practice location
1500 Sierra CT W
Sartell, MN 56377-4795
Mailing address
1500 Sierra CT W
Sartell, MN 56377-4795
Phone (320) 241-4110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1538076997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 SIERRA CT W",
"city": "SARTELL",
"state": "MN",
"postal_code": "563774795",
"telephone_number": "320-241-4110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SIERRA CT W",
"city": "SARTELL",
"state": "MN",
"postal_code": "563774795",
"telephone_number": "320-241-4110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAETZ",
"first_name": "MARCIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-24",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "436221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sartell, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.