Londa Lenae Pedersen, M.S

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

7080 8TH Ave
Cannon Ball, ND 58528-9518

Phone

(701) 854-3341

NPI assigned

Jan 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063566685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 E CAPITOL AVE APT 311",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585012385",
            "telephone_number": "701-720-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7080 8TH AVE",
            "city": "CANNON BALL",
            "state": "ND",
            "postal_code": "585289518",
            "telephone_number": "701-854-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "LONDA",
        "middle_name": "LENAE",
        "name_prefix": "Mrs.",
        "credential": "M.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51338",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Precious Elsie Cottonwood
• Fort Yates Indian Health Service Hospital (Cannonball Clinic)
• Santana Rose Hettich, CMA 2
• Kevin James Lewis
• Alisa Thunder Hawk
• Lois Two Bears
• Renee Kay Two Shields
• Rashawn Vivier

• Speech-Language Pathologist in Cannon Ball, ND
• Providers in Cannon Ball, ND by specialty
• Speech-Language Pathologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.