Individual provider Active NPI

Amber Schempp, MS CCC-SLP

  • Speech-Language Pathologist
  • West Fargo, ND
National Provider Identifier
1124299417
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
913 Issued in ND
Practice address
631 4TH Ave E
West Fargo, ND 58078-1916
Phone
(701) 356-2010
Fax
(701) 356-2019
NPI assigned
Mar 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 913 ND Primary

Addresses

Primary practice location

631 4TH Ave E
West Fargo, ND 58078-1916

Mailing address

631 4TH Ave E
West Fargo, ND 58078-1916
Phone (701) 356-2010

Other identifiers 1

IdentifierTypeStateIssuer
55081MedicaidND

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
913NDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1124299417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 4TH AVE E",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580781916",
            "telephone_number": "701-356-2010",
            "fax_number": "701-356-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 4TH AVE E",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580781916",
            "telephone_number": "701-356-2010",
            "fax_number": "701-356-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEMPP",
        "first_name": "AMBER",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55081",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.