Active NPI
Emily A Pfisterer, CCC-A
- Audiologist
- Minneapolis, MN
National Provider Identifier
1306857834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 7000
- Practice address
- 2211 Park Ave
Minneapolis, MN 55404-3711 - Phone
- (612) 871-1144
- NPI assigned
- Aug 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 7000 | MN | Primary |
Addresses
Primary practice location
2211 Park Ave
Minneapolis, MN 55404-3711
Mailing address
13356 Carrach Way
Rosemount, MN 55068-4807
Phone (651) 344-8543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600303600 | Medicaid | FL |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7000 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268179200000",
"number": "1306857834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13356 CARRACH WAY",
"city": "ROSEMOUNT",
"state": "MN",
"postal_code": "550684807",
"telephone_number": "651-344-8543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 PARK AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554043711",
"telephone_number": "612-871-1144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFISTERER",
"first_name": "EMILY",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2010-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MN",
"license": "7000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600303600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.