Organization Active NPI

Saint John's University

  • Student Health Clinic/Center
  • Collegeville, MN
National Provider Identifier
1104622075
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
SAINT JOHN'S UNIVERSITY
Practice address
2749 Sexton Drive
Mary Hall 001
Collegeville, MN 56321
Phone
(320) 363-5605
Fax
(320) 363-3405
NPI assigned
Feb 21, 2025
Last updated
Feb 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Emily J Rath, APRN, CNPNPI 1013147941
Title
Executive Director
Phone
(320) 363-5605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X NU Primary

Addresses

Primary practice location

2749 Sexton Drive
Mary Hall 001
Collegeville, MN 56321

Mailing address

2749 Sexton Drive
Mary Hall 001
Collegeville, MN 56321
Phone (320) 363-5605

National Provider Directory

National Provider Directory

Locations

2749 Sexton Dr
Mary Hall 001
Collegeville, MN 56321
Phone (320) 363-5605

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1104622075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2749 SEXTON DRIVE",
            "address_2": "MARY HALL 001",
            "city": "COLLEGEVILLE",
            "state": "MN",
            "postal_code": "56321",
            "telephone_number": "320-363-5605",
            "fax_number": "320-363-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2749 SEXTON DRIVE",
            "address_2": "MARY HALL 001",
            "city": "COLLEGEVILLE",
            "state": "MN",
            "postal_code": "56321",
            "telephone_number": "320-363-5605",
            "fax_number": "320-363-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JOHN'S UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "RATH",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "320-363-5605",
        "authorized_official_credential": "APRN, CNP"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collegeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.