Individual provider Active NPI

Angela Marie Kaas, MS CCC/SLP

  • Speech-Language Pathologist
  • Eden Prairie, MN
National Provider Identifier
1700960093
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7802 Issued in MN
Practice address
7570 Market Place Drive
Eden Prairie, MN 55344
Phone
(952) 944-0240
Fax
(952) 944-0241
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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 7802 MN Primary

Addresses

Primary practice location

7570 Market Place Drive
Eden Prairie, MN 55344

Mailing address

6718 4TH Ave S
Richfield, MN 55423-2422
Phone (612) 866-3172

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7802MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy for Me Speech-Language Pathologist CurrentSince Jan 8, 2023 Accepting new patients

Locations

7570 Market Place Dr
Eden Prairie, MN 55344
Phone (952) 944-0240

7624 Executive Dr
Eden Prairie, MN 55344
Phone (952) 944-0240

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1700960093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6718 4TH AVE S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232422",
            "telephone_number": "612-866-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7570 MARKET PLACE DRIVE",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "55344",
            "telephone_number": "952-944-0240",
            "fax_number": "952-944-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAAS",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MS CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "7802",
            "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 Nov 2, 2015; 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.