Individual provider Active NPI

Emily Christine Kerber, MS, CFY-SLP

  • Speech-Language Pathologist
  • Maplewood, MN
National Provider Identifier
1861896748
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9295 Issued in MN
Practice address
2495 Maplewood Dr
Ste 313
Maplewood, MN 55109-1984
Phone
(651) 770-8884
Fax
(651) 770-8151
NPI assigned
Oct 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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 9295 MN Primary

Addresses

Primary practice location

2495 Maplewood Dr
Ste 313
Maplewood, MN 55109-1984

Mailing address

804 Vine St
Apt. 4
Hudson, WI 54016-1768
Phone (507) 402-2553

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
9295MNMDSpeech-Language Pathologist
4280WIMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1861896748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 VINE ST",
            "address_2": "APT. 4",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540161768",
            "telephone_number": "507-402-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 MAPLEWOOD DR",
            "address_2": "STE 313",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091984",
            "telephone_number": "651-770-8884",
            "fax_number": "651-770-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERBER",
        "first_name": "EMILY",
        "middle_name": "CHRISTINE",
        "credential": "MS, CFY-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.