Amy Ekberg

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9778 Issued in MN

Practice address

1000 Lovell Ave W
Roseville, MN 55113-4459

Phone

(651) 484-3378

NPI assigned

Jan 10, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1083150338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 ARLINGTON AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551173502",
            "telephone_number": "651-402-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LOVELL AVE W",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134459",
            "telephone_number": "651-484-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKBERG",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9778",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "3001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne Michael Effertz, CPRS, MA, LADC
• Kevin Thomas Ehlers, DO
• Joanne Eloise Ehrmantraut, MSW
• Imran Mohamud Eid
• Bruce Eisenmenger, M.A., LP
• Elemo MN Care LLC
• Elevate Counseling Center, LLC
• Megan Elgethun, M.D.
• Judith Marie Ellerbusch, NP
• Megan Marie Ellingson, FNP

• Speech-Language Pathologist in Roseville, MN
• Providers in Roseville, 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 Jan 10, 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.