Active NPI
Sherri Kae Hollister, CF-SLP
- Speech-Language Pathologist
- Eden Prairie, MN
National Provider Identifier
1649904061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 518253
- Practice address
- 10180 Viking Dr
Eden Prairie, MN 55344-7207 - Phone
- (612) 747-6579
- NPI assigned
- Jul 12, 2022
- Last updated
- Jul 12, 2022
- 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 | 518253 | MN | Primary |
Addresses
Primary practice location
10180 Viking Dr
Eden Prairie, MN 55344-7207
Mailing address
10180 Viking Dr
Eden Prairie, MN 55344-7207
Phone (612) 747-6579
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Opportunities Foundation | Current | Accepting new patients |
Locations
5860 Baker Rd
Minnetonka, MN 55345
Phone (612) 759-2697
5868 Baker Rd
Minnetonka, MN 55345
Phone (612) 245-5933
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1649904061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10180 VIKING DR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553447207",
"telephone_number": "612-747-6579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10180 VIKING DR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553447207",
"telephone_number": "612-747-6579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLISTER",
"first_name": "SHERRI",
"middle_name": "KAE",
"credential": "CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-12",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "518253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.