Individual provider Active NPI

Gretchen Irene Philpot, CCC-SLP

  • Speech-Language Pathologist
  • Lakeville, MN
National Provider Identifier
1174625255
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8084 Issued in MN
Practice address
17630 Juniper Path Ste a
Lakeville, MN 55044-5754
Phone
(952) 232-2000
NPI assigned
Sep 1, 2006
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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 8084 MN Primary

Addresses

Primary practice location

17630 Juniper Path Ste a
Lakeville, MN 55044-5754

Mailing address

17630 Juniper Path Ste a
Lakeville, MN 55044-5754
Phone (952) 232-2000

Other identifiers 2

IdentifierTypeStateIssuer
502P6PHOtherBCBS MINNESOTA
HP66227OtherHEALTH PARTNERS

Other names 1

  • Miss Gretchen Irene Boyd Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Courage Residence Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1174625255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17630 JUNIPER PATH STE A",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550445754",
            "telephone_number": "952-232-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17630 JUNIPER PATH STE A",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550445754",
            "telephone_number": "952-232-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILPOT",
        "first_name": "GRETCHEN",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "8084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MINNESOTA",
            "identifier": "502P6PH",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP66227",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETCHEN",
            "last_name": "BOYD",
            "middle_name": "IRENE",
            "prefix": "MISS",
            "credential": "CFY SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.