Active NPI
Kimberly Kiss Marier
- Speech-Language Pathologist
- Maplewood, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8098
- Practice address
- 2945 Hazelwood St Ste 100
Maplewood, MN 55109-1242 - Phone
- (651) 232-7800
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 8098 | MN | Primary |
Addresses
Primary practice location
2945 Hazelwood St Ste 100
Maplewood, MN 55109-1242
Mailing address
3333 University Ave SE
Minneapolis, MN 55414-3325
Phone (612) 728-5391
Other practice location 1
3333 University Ave SE
Minneapolis, MN 55414-3325
Phone (612) 728-5391
Other names 1
- Kimberly Ann Kiss
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8098 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healtheast Outpatient Services, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Therapy Associates Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Therapy Associates, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
| Fraser Child and Family Center | Past | Accepting new patients | |
| Fraser | Past | Accepting new patients |
Locations
13750 Crosstown Dr NW
Andover, MN 55304
Phone (763) 310-8847
904 6th Avenue Ct NE
Isanti, MN 55040
Phone (763) 444-7556
1390 University Ave W
Saint Paul, MN 55104
Phone (651) 232-4800
2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800
1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700
Organizations & group practices 5
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.
-
- Physical Therapist
- Saint Paul, MN
- NPI 1225382526
Speech-Language Pathologist
-
- Speech-Language Pathologist
- Isanti, MN
- NPI 1558418012
-
- Rehabilitation Clinic/Center
- Richfield, MN
- NPI 1063568574
-
- Adolescent and Children Mental Health Clinic/Center
- Minneapolis, MN
- NPI 1609922194
-
- Speech-Language Pathologist
- Isanti, MN
- NPI 1366993412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557187200000",
"number": "1972720902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 UNIVERSITY AVE SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554143325",
"telephone_number": "612-728-5391",
"fax_number": "612-728-5301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2945 HAZELWOOD ST STE 100",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551091242",
"telephone_number": "651-232-7800"
}
],
"practiceLocations": [
{
"address_1": "3333 University Ave SE",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554143325",
"country_code": "US",
"telephone_number": "612-728-5391",
"fax_number": "612-728-5301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARIER",
"first_name": "KIMBERLY",
"middle_name": "KISS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2019-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "8098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "KISS",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
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 May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.