Individual provider Active NPI

Kylee Beth Geer

  • Speech-Language Pathologist
  • Minot, ND
National Provider Identifier
1780881391
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
987 Issued in ND
Practice address
315 Main Street S.
Suite 104
Minot, ND 58701-3731
Phone
(701) 837-9801
Fax
(866) 666-9789
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 987 ND Primary
Speech-Language Pathologist 235Z00000X 8191 MN

Addresses

Primary practice location

315 Main Street S.
Suite 104
Minot, ND 58701-3731

Mailing address

315 Main Street S.
Suite 104
Minot, ND 58701-3731
Phone (701) 837-9801

Other identifiers 2

IdentifierTypeStateIssuer
28240OtherNDBCBS
51627MedicaidND

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
987NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Teletherapy Speech-Language Pathologist Current Accepting new patients

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1780881391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MAIN STREET S.",
            "address_2": "SUITE 104",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587013731",
            "telephone_number": "701-837-9801",
            "fax_number": "866-666-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MAIN STREET S.",
            "address_2": "SUITE 104",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587013731",
            "telephone_number": "701-837-9801",
            "fax_number": "866-666-9789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEER",
        "first_name": "KYLEE",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "987",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "8191",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "28240",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51627",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.