Individual provider Active NPI

Stacie S.E. Ramthun, M.S., CCC

  • Speech-Language Pathologist
  • Saint Paul, MN
National Provider Identifier
1235356973
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
66283 Issued in MN
Practice address
561 7TH St W
Saint Paul, MN 55102-3009
Phone
(651) 225-4558
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 66283 MN Primary

Addresses

Primary practice location

561 7TH St W
Saint Paul, MN 55102-3009

Mailing address

1018 Kinnickinnic St.
Hudson, MN 55401
Phone (715) 381-3536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160121001590 MN Practitioner - Qualified Speech Language Pathologist 6608179882 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
66283MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Speech and Language Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235356973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 KINNICKINNIC ST.",
            "city": "HUDSON",
            "state": "MN",
            "postal_code": "55401",
            "telephone_number": "715-381-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 7TH ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551023009",
            "telephone_number": "651-225-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMTHUN",
        "first_name": "STACIE",
        "middle_name": "S.E.",
        "credential": "M.S., CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "66283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.