Active NPI
Susan Love
- Speech-Language Pathologist
- Harvey, ND
National Provider Identifier
1285966432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1104
- Practice address
- 210 North Street East
Harvey, ND 58341-1027 - Phone
- (701) 324-4811
- NPI assigned
- Feb 12, 2010
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Harvey, ND
- NPI 1013001932
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 |
|---|---|---|---|
| 1104 | ND | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lonetree Special Education Unit | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1104 | ND | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
210 North Street East
Harvey, ND 58341-1027
Mailing address
1019 18 1/2 Ave SW
Minot, ND 58701-6134
Phone (701) 839-6088
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019015 | Medicaid | ND |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 16, 2010.
{
"created_epoch": "1265932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266278400000",
"number": "1285966432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1019 18 1/2 AVE SW",
"city": "MINOT",
"state": "ND",
"postal_code": "587016134",
"telephone_number": "701-839-6088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 NORTH STREET EAST",
"city": "HARVEY",
"state": "ND",
"postal_code": "583411027",
"telephone_number": "701-324-4811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVE",
"first_name": "SUSAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-12",
"last_updated": "2010-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ND",
"license": "1104",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019015",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harvey, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.