Individual provider Active NPI

Katherine Joyce Fishel, SLP

  • Speech-Language Pathologist
  • Saint Paul, MN
National Provider Identifier
1700143781
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8903 Issued in MN
Practice address
559 Capitol Blvd
Saint Paul, MN 55103-2101
Phone
(651) 232-2290
NPI assigned
Apr 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 8903 MN Primary

Addresses

Primary practice location

559 Capitol Blvd
Saint Paul, MN 55103-2101

Mailing address

559 Capitol Blvd
Saint Paul, MN 55103-2101
Phone (651) 232-2290

Other practice location 1

709 University Ave W
Saint Paul, MN 55104-4804
Phone (651) 227-8471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8903MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetrack Resources, Inc. Speech-Language Pathologist Past Accepting new patients
Fairview Health Services Past Accepting new patients

Organizations & group practices 2

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": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1700143781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 CAPITOL BLVD",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551032101",
            "telephone_number": "651-232-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 CAPITOL BLVD",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551032101",
            "telephone_number": "651-232-2290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 University Ave W",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551044804",
            "country_code": "US",
            "telephone_number": "651-227-8471",
            "fax_number": "651-265-2355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHEL",
        "first_name": "KATHERINE",
        "middle_name": "JOYCE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-16",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "8903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.