Individual provider Active NPI

Kristen Berglie

  • Speech-Language Pathologist
  • St Louis Park, MN
National Provider Identifier
1851778807
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9438 Issued in MN
Practice address
7900 W 28TH St
St Louis Park, MN 55426-3011
Phone
(952) 920-8380
Fax
(952) 920-7866
NPI assigned
Apr 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 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 9438 MN Primary

Addresses

Primary practice location

7900 W 28TH St
St Louis Park, MN 55426-3011

Mailing address

7900 W 28TH St
St Louis Park, MN 55426-3011
Phone (952) 920-8380

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

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1851778807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 W 28TH ST",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554263011",
            "telephone_number": "952-920-8380",
            "fax_number": "952-920-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 W 28TH ST",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554263011",
            "telephone_number": "952-920-8380",
            "fax_number": "952-920-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGLIE",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.