Alexa Russo

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

6409 City West Pkwy Ste 206
Eden Prairie, MN 55344-7846

Phone

(952) 500-8871

NPI assigned

Sep 15, 2026

Last updated

Sep 15, 2026By the provider in NPPES

Sex

Unspecified or another gender identity

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

Practice roles

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.

• Urban Speech & Occupational Therapy

  • Speech-Language Pathologist
  • Eden Prairie, MN
  • NPI 1689305740
  NPD (past)

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1053222406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8746 PRESCOTT DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553472249",
            "telephone_number": "952-300-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6409 CITY WEST PKWY STE 206",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447846",
            "telephone_number": "952-500-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "ALEXA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret A Rudolph, APN
• Tamara Mae Ruedebusch, OTR/L
• Josie Christine Runyan, DC
• Martin Joseph Ruocco, M.D.
• Peter L. Russell, MD
• Nicholas Russo
• Olivia Russo
• Paul R Rust, M.D.
• Brandi Rutledge
• Rxfunction, Inc.

• Speech-Language Pathologist in Eden Prairie, MN
• Providers in Eden Prairie, 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 Sep 15, 2026; 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.