Individual provider Active NPI

Susan Love

  • Speech-Language Pathologist
  • Harvey, ND
National Provider Identifier
1285966432
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1104 Issued in ND
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.

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

LicenseStateTypeSpecialty
1104NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lonetree Special Education Unit Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1104 ND Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
019015MedicaidND

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.

Verify at the official NPI Registry.