NPIMap

Organization Active NPI

Onsite Imaging and Speech Services

  • Speech-Language Pathologist
  • Eden Prairie, MN
National Provider Identifier
1295361079
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
ONSITE IMAGING AND SPEECH SERVICES
Practice address
8307 Kimball Dr
Eden Prairie, MN 55347-2127
Phone
(507) 261-8775
NPI assigned
Mar 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Natasha Agha, SLPNPI 1033427364
Title
Owner/Employee
Phone
(507) 261-8775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

8307 Kimball Dr
Eden Prairie, MN 55347-2127

Mailing address

8307 Kimball Dr
Eden Prairie, MN 55347-2127
Phone (507) 261-8775

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1295361079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8307 KIMBALL DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553472127",
            "telephone_number": "507-261-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8307 KIMBALL DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553472127",
            "telephone_number": "507-261-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONSITE IMAGING AND SPEECH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "AGHA",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "OWNER/EMPLOYEE",
        "authorized_official_telephone_number": "507-261-8775",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.