Individual provider Active NPI

Heidi J Thompson, M.S.

  • Speech-Language Pathologist
  • Grand Forks, ND
National Provider Identifier
1245593169
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1217 Issued in ND
Practice address
3535 S 31St St Ste 105
Grand Forks, ND 58201-3592
Phone
(701) 317-2897
Fax
(701) 213-4345
NPI assigned
Jun 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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 1217 ND Primary

Addresses

Primary practice location

3535 S 31St St Ste 105
Grand Forks, ND 58201-3592

Mailing address

1311 S Washington St
Grand Forks, ND 58201-5406
Phone (701) 317-2897

Other practice location 1

117 N Washington St Ste D
Grand Forks, ND 58203-3450
Phone (701) 317-2897

Other practice location 2

1311 S Washington St
Grand Forks, ND 58201-5406
Phone (701) 317-2897

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221130002386 ND Practitioner - Qualified Speech Language Pathologist 8729456496 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Suedel Therapeutics PLLC CurrentSince Dec 1, 2022 Accepting new patients
Little Miracles, Inc. PastSince May 26, 2016 Accepting new patients

Locations

1311 S Washington St
Grand Forks, ND 58201
Phone (701) 317-2897

117 N Washington St
Ste D
Grand Forks, ND 58203
Phone (701) 317-2897

117 N Washington St
Grand Forks, ND 58203
Phone (701) 317-2897

3535 S 31st St
Ste 105
Grand Forks, ND 58201
Phone (701) 317-2897

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": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1245593169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 S WASHINGTON ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015406",
            "telephone_number": "701-317-2897",
            "fax_number": "701-213-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 S 31ST ST STE 105",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582013592",
            "telephone_number": "701-317-2897",
            "fax_number": "701-213-4345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 N Washington St Ste D",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582033450",
            "country_code": "US",
            "telephone_number": "701-317-2897",
            "fax_number": "701-213-4345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1311 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582015406",
            "country_code": "US",
            "telephone_number": "701-317-2897",
            "fax_number": "701-213-4345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "HEIDI",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "1217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.