HEATHER MARIE KETTERLING (NPI# 1659424323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659424323 |
| Entity Type | Individual |
| Full Name | HEATHER MARIE KETTERLING |
| Credential | MS CCC-SLP |
| Practice Address |
8100 Penn Ave S Ste 169 Minneapolis MN 55431-1325 |
| Practice Telephone | 6122163527 |
| Practice Fax Number | 6122162727 |
| Mailing Telephone | 6122163527 |
| Mailing Fax Number | 6122162727 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2019-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 7265 | MN | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS BLUE SHIELD | 211G2KE | 01 |
| MN | MEDICA | 4600884 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124684915 | Heather Ketterling | Massage Therapist | 3242 20th St S, Fargo, ND 58104-5917 | 2019-05-16 |
| Street Address |
8100 PENN AVE S STE 169 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55431-1325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1760042253 | Adams Health Care Services, LLC | Registered Nurse | 10036 Washburn Ave S, Bloomington, MN 55431 | 2019-06-17 |
| 1851864755 | Hope Autism Center | Day Training, Developmentally Disabled Services | 9333 Penn Ave S, Bloomington, MN 55431 | 2019-01-03 |
| 1275006215 | Cameron Lee Small | Counselor | 9156 Vincent Ave S, Bloomington, MN 55431 | 2019-01-02 |
| 1497240469 | Mikayla Slegh | Behavior Technician | 8200 Humboldt Ave S Suite 100, Bloomington, MN 55431 | 2018-06-22 |
| 1073061552 | David Wells | Nurse Practitioner | 8100 Northland Dr., Bloomington, MN 55431 | 2016-09-14 |
| 1780033076 | Yasin Jama | Contractor | 9810 Drew Avenue South, Apartment 106, Bloomington, MN 55431 | 2016-06-07 |
| 1972961001 | Kadar Hadis | Social Worker | 8200 Humboldt Ave S Ste 217, Bloomington, MN 55431 | 2016-02-03 |
| 1063878908 | Amazing Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 9031 Penn Ave South Suite 100, Bloomington, MN 55431 | 2016-01-07 |
| 1093170136 | Kelsey Margaret Perreault | Chiropractor | 8120 Penn Ave. S., Suite 525, Bloomington, MN 55431 | 2015-12-16 |
| Find all providers in zip 55431 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228961 | Stephanie Ellen Anderson | Speech-Language Pathologist | 401 Se Main St Apt 7011, Minneapolis, MN 55414-4618 | 2020-06-04 |
| 1093207979 | Abbie Hagen | Speech-Language Pathologist | 2450 Riverside Ave Rm M146, Minneapolis, MN 55454-1450 | 2018-06-05 |
| 1528594496 | Christina Bracke | Speech-Language Pathologist | 337 Washington Ave N Apt 529, Minneapolis, MN 55401-2745 | 2017-05-11 |
| 1205378924 | Elyse Kafkes | Speech-Language Pathologist | 4132 Bryant Ave S, Minneapolis, MN 55409-1424 | 2016-11-11 |
| 1245615228 | Meredith Jacobs | Speech-Language Pathologist | 4339 44th Ave S, Minneapolis, MN 55406-4058 | 2015-07-20 |
| 1467852731 | Eric Matthew Vander May | Speech-Language Pathologist | 2544 Harriet Ave, Apt 102, Minneapolis, MN 55405-3472 | 2014-08-24 |
| 1245647239 | Haley Marie Burleigh | Speech-Language Pathologist | 7520 Edinborough Way, Apt 2203, Minneapolis, MN 55435-4764 | 2014-07-22 |
| 1922418862 | Amy Crist | Speech-Language Pathologist | 3137 Harriet Ave # 2, Minneapolis, MN 55408-2908 | 2014-04-30 |
| 1578973772 | Jenna Aberson | Speech-Language Pathologist | 4319 Lyndale Ave S, Minneapolis, MN 55409-1815 | 2014-04-28 |
| 1457784514 | Rheanne Sarene Lewis | Speech-Language Pathologist | 3221 Saint Margaret Dr, Minneapolis, MN 55422-3847 | 2013-08-13 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55431 |
Please comment or provide details below to improve the information on HEATHER MARIE KETTERLING.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.