Heather Marie Ketterling, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7265 Issued in MN

Practice address

8100 Penn Ave S Ste 169
Minneapolis, MN 55431-1325

Phone

(612) 216-3527

Fax

(612) 216-2727

NPI assigned

Jan 18, 2007

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

Other identifiers 2

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.

• Helping Minnesotas Kids, LLC

  • Hearing and Speech Clinic/Center
  • Bloomington, MN
  • NPI 1316131485
  NPD Authorized official

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1659424323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 PENN AVE S STE 169",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554311325",
            "telephone_number": "612-216-3527",
            "fax_number": "612-216-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 PENN AVE S STE 169",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554311325",
            "telephone_number": "612-216-3527",
            "fax_number": "612-216-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTERLING",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "7265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "4600884",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "211G2KE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodi Ketelsen
• Jyesha Keten
• Nyesha Keten
• Rajesh Babu Kethireddy, M.D.
• Jeanne Ketola, MA LPCC
• Thomas J Keul, MD
• Megan Keuler, MD, MPH
• John Keyes, D.M.D.
• Ryan Allen Keyes, BDENT
• Javad Keyhani, M.D.

• Speech-Language Pathologist in Minneapolis, MN
• Providers in Minneapolis, 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 Jun 21, 2024; 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.