Kelsey Rae Weinandt, M.S, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10082 Issued in MN

Practice address

303 1St Ave NE Ste 375
Faribault, MN 55021-5297

Phone

(507) 331-3010

NPI assigned

May 12, 2020

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Southern Minnesota Speech Pathology

  • Speech-Language Pathologist
  • Faribault, MN
  • NPI 1346551033
  NPD

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1639791767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13388 290TH ST",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560714138",
            "telephone_number": "952-465-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 1ST AVE NE STE 375",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215297",
            "telephone_number": "507-331-3010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13388 290th St",
            "address_purpose": "LOCATION",
            "city": "New Prague",
            "state": "MN",
            "postal_code": "560714138",
            "country_code": "US",
            "telephone_number": "952-465-1629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINANDT",
        "first_name": "KELSEY",
        "middle_name": "RAE",
        "credential": "M.S, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "10082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Igoni Wariboko, M.D
• Susan M Warring, LICSW
• Tara Watkins, DC, ATC
• Sadie Elizabeth Watts, MSW, LICSW
• Angela Wegner, PTA, ATC
• Christine M Werner, NP-C
• Megan Adrienne Westling, PT
• Peggy L Wetmore, LICSW
• Chad White, PHARMD
• Wieber Physical Therapy

• Speech-Language Pathologist in Faribault, MN
• Providers in Faribault, 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 May 12, 2020; 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.