Active NPI
Audrey Haugen
- Speech-Language Pathologist
- Fargo, ND
National Provider Identifier
1124911490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2864
- Practice address
- 3244 51St St S
Fargo, ND 58104-7179 - Phone
- (701) 356-0062
- NPI assigned
- Jun 3, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2864 | ND | Primary |
Addresses
Primary practice location
3244 51St St S
Fargo, ND 58104-7179
Mailing address
3244 51St St S
Fargo, ND 58104-7179
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250703001573 | ND | Practitioner - Qualified Speech Language Pathologist | 8123531902 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3244 51St St S
Fargo, ND 58104-7179
Phone (701) 356-0062
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2864 | ND | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond Boundaries Occupational Therapy, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
| Beyond Boundaries Speech Language Therapy, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
| Kennelly Speech Language Pathology LTD | Speech-Language Pathologist | Current | Accepting new patients |
Locations
4450 31st Ave S
Ste 103
Fargo, ND 58104
Phone (701) 364-5433
3244 51st St S
Fargo, ND 58104
Phone (701) 356-0062
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Fargo, ND
- NPI 1790999605
ND, Speech-Language Pathologist
-
- Multi-Specialty Clinic/Center
- Fargo, ND
- NPI 1245312388
ND, Speech-Language Pathologist
-
- Speech-Language Pathologist
- Fargo, ND
- NPI 1154370187
ND, Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1124911490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3244 51ST ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581047179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3244 51ST ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581047179",
"telephone_number": "701-356-0062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUGEN",
"first_name": "AUDREY",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-06-03",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ND",
"license": "2864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.