Active NPI
Kristina Fiedler
- Speech-Language Pathologist
- Denver, CO
National Provider Identifier
1629443635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP.0001582
- Practice address
- 1427 Clayton St Apt 2
Denver, CO 80206-5902 - Phone
- (715) 577-5293
- NPI assigned
- Dec 2, 2015
- 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 | SLP.0001582 | CO | Primary |
Addresses
Primary practice location
1427 Clayton St Apt 2
Denver, CO 80206-5902
Mailing address
1427 Clayton St Apt 2
Denver, CO 80206-5902
Phone (715) 577-5293
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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5330 Beacon Hill Rd
Minnetonka, MN 55345-5858
Phone (651) 631-6570
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9032 | MN | MD | Physical Therapist |
| SLP.0001582 | CO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optage Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Optage Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Optage Inc | Speech-Language Pathologist | Current | Accepting new patients |
Locations
2845 Hamline Ave N
Saint Paul, MN 55113
Phone (651) 631-6100
Organizations & group practices 3
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": "1449014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449014400000",
"number": "1629443635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1427 CLAYTON ST APT 2",
"city": "DENVER",
"state": "CO",
"postal_code": "802065902",
"telephone_number": "715-577-5293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1427 CLAYTON ST APT 2",
"city": "DENVER",
"state": "CO",
"postal_code": "802065902",
"telephone_number": "715-577-5293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIEDLER",
"first_name": "KRISTINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-02",
"last_updated": "2015-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "SLP.0001582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.