Active NPI
Thomas F Dunn, SLP SPEECH LANGUAGE
- Speech-Language Pathologist
- Coon Rapids, MN
National Provider Identifier
1164610903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5494
- Practice address
- 300 Coon Rapids Blvd NW
Coon Rapids, MN 55433-5643 - Phone
- (763) 767-0854
- NPI assigned
- Oct 5, 2007
- Last updated
- Sep 22, 2015
- Sex
- Male
- 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 | 5494 | MN | Primary |
Addresses
Primary practice location
300 Coon Rapids Blvd NW
Coon Rapids, MN 55433-5643
Mailing address
1420 Knob Hill Lane
Excelsior, MN 55331
Phone (952) 470-1559
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5494 | MN | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442880000000",
"number": "1164610903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 KNOB HILL LANE",
"city": "EXCELSIOR",
"state": "MN",
"postal_code": "55331",
"telephone_number": "952-470-1559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 COON RAPIDS BLVD NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554335643",
"telephone_number": "763-767-0854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "THOMAS",
"middle_name": "F",
"name_prefix": "Mr.",
"credential": "SLP SPEECH LANGUAGE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-05",
"last_updated": "2015-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "5494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coon Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.