Active NPI
Rita Jean Mueller, M.A., CCC-A
- Audiologist
- Saint Paul, MN
National Provider Identifier
1871892315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 5124
- Practice address
- 347 Smith Ave N
Saint Paul, MN 55102-2387 - Phone
- (612) 813-7610
- NPI assigned
- Mar 23, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 5214 | MN | |
| Audiologist | 231H00000X | 5124 | MN | Primary |
Addresses
Primary practice location
347 Smith Ave N
Saint Paul, MN 55102-2387
Mailing address
5901 Lincoln Dr # 2Revpe
Edina, MN 55436-1611
Phone (952) 992-5691
Other practice location 1
4033 10th Ave S
Minneapolis, MN 55407-3201
Phone (612) 824-5341
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871892315 | Medicaid | MN |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5214 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509408000000",
"number": "1871892315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 LINCOLN DR # 2REVPE",
"city": "EDINA",
"state": "MN",
"postal_code": "554361611",
"telephone_number": "952-992-5691",
"fax_number": "952-992-6917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "347 SMITH AVE N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022387",
"telephone_number": "612-813-7610"
}
],
"practiceLocations": [
{
"address_1": "4033 10th Ave S",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554073201",
"country_code": "US",
"telephone_number": "612-824-5341",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUELLER",
"first_name": "RITA",
"middle_name": "JEAN",
"credential": "M.A., CCC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-23",
"last_updated": "2017-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MN",
"license": "5214",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MN",
"license": "5124",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1871892315",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.