Active NPI
Andrea Michelle Vosberg, MA, CCC-SLP
- Speech-Language Pathologist
- Watertown, SD
National Provider Identifier
1043541691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 215 S Maple
Watertown, SD 57201-4316 - Phone
- (605) 886-5777
- Fax
- (605) 886-0790
- NPI assigned
- Jan 21, 2010
- 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 | Primary |
Addresses
Primary practice location
215 S Maple
Watertown, SD 57201-4316
Mailing address
1628 8TH St NE
Watertown, SD 57201-6903
Phone (605) 881-5669
Other practice location 1
901 14th Ave NE
Watertown, SD 57201-6817
Phone (605) 882-3084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Adio/Pennsylvania Institute of Straight Chiropractic, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
901 14TH Ave NE
Watertown, SD 57201-6817
Phone (605) 954-4264
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caring Edge Op LLC | Current | Accepting new patients |
Locations
1950 E 4th St
Pierre, SD 57501
Phone (605) 494-3400
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586131200000",
"number": "1043541691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1628 8TH ST NE",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572016903",
"telephone_number": "605-881-5669",
"fax_number": "605-886-0790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 S MAPLE",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572014316",
"telephone_number": "605-886-5777",
"fax_number": "605-886-0790"
}
],
"practiceLocations": [
{
"address_1": "901 14th Ave NE",
"address_purpose": "LOCATION",
"city": "Watertown",
"state": "SD",
"postal_code": "572016817",
"country_code": "US",
"telephone_number": "605-882-3084",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VOSBERG",
"first_name": "ANDREA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-21",
"last_updated": "2020-04-06",
"certification_date": "2020-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.