Nicole L Neisen, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9959 Issued in MN

Practice address

300 S Bruce St
Marshall, MN 56258-1934

Phone

(507) 537-9172

Fax

(507) 537-2729

NPI assigned

Jul 18, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Hands Hooves and Hearts Therapeutic Services LLC

  • Pediatric Occupational Therapist
  • Ramsey, MN
  • NPI 1891332599

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1760968200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 HACKBERRY DR APT 5",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562583112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S BRUCE ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581934",
            "telephone_number": "507-537-9172",
            "fax_number": "507-537-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEISEN",
        "first_name": "NICOLE",
        "middle_name": "L",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie Marie Molseed, CRNA
• Jessica Joy Moriarty, CNP
• Laura Mueller-Anderson, LICSW
• Kasey Myers, CNP
• Allison Naber, O.T.R.
• Jonathan Nelson
• Katrina Nelson
• Linda Kathleen Nelson, MS, LP
• Mataya Juliette Nelson
• Lara Neubauer, MA OTR/L

• Speech-Language Pathologist in Marshall, MN
• Providers in Marshall, 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 Jul 18, 2018; 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.