Kelli Maupin, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7780 Issued in MN

Practice address

327 S Marschall Rd
Suite 390
Shakopee, MN 55379-1687

Phone

(612) 807-3723

NPI assigned

Mar 16, 2008

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)

Not enrolled

State licenses

Practice roles

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.

• South Metro Speech Services, LLC

  • Hearing and Speech Clinic/Center
  • Shakopee, MN
  • NPI 1649394933
  NPD (past)

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

{
    "created_epoch": "1205625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205625600000",
    "number": "1942471180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4975 SPRUCE LN",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782922",
            "telephone_number": "952-913-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 S MARSCHALL RD",
            "address_2": "SUITE 390",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553791687",
            "telephone_number": "612-807-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUPIN",
        "first_name": "KELLI",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-16",
        "last_updated": "2008-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "7780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kory Martin
• Ronald Mash, DC
• Massfee Home Care Services
• Grant William Mathison
• Michelle Satter Mattison I, RD, LD, CDCES
• Joseph C Mayerle, MD
• Susan Margaret McAndrew
• Nanette Evelyn McDevitt, PSY.D.
• McGraw Chiropractic Clinic PA.
• Daniel John McGraw, DC

• Speech-Language Pathologist in Shakopee, MN
• Providers in Shakopee, 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 Mar 16, 2008; 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.