Individual provider Active NPI

Therese Beutel White, M.S.

  • Hearing and Speech Clinic/Center
  • Roseville, MN
National Provider Identifier
1043723117
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
5529 Issued in MN
Practice address
1660 County Road B W
Roseville, MN 55113-4033
Phone
(651) 639-2535
Fax
(651) 639-1996
NPI assigned
Nov 13, 2017
Last updated
Nov 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 5529 MN Primary

Addresses

Primary practice location

1660 County Road B W
Roseville, MN 55113-4033

Mailing address

3245 Richmond Ave
Shoreview, MN 55126-3834
Phone (651) 262-8303

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5529MNMDHearing and Speech Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Voices Past Accepting new patients
Northern Voices Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1043723117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 RICHMOND AVE",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551263834",
            "telephone_number": "651-262-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 COUNTY ROAD B W",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134033",
            "telephone_number": "651-639-2535",
            "fax_number": "651-639-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "THERESE",
        "middle_name": "BEUTEL",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "MN",
            "license": "5529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.

Verify at the official NPI Registry.