Emily Dawn Berglund, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10544 Issued in MN

Practice address

380 Oak Grove Pkwy
Vadnais Heights, MN 55127-8508

Phone

(952) 767-4200

NPI assigned

Oct 11, 2021

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 14, 2022.

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1346902095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5868 BAKER RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553455903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 OAK GROVE PKWY",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551278508",
            "telephone_number": "952-767-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Medtronic Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fridley",
            "state": "MN",
            "postal_code": "554325609",
            "country_code": "US",
            "telephone_number": "652-767-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGLUND",
        "first_name": "EMILY",
        "middle_name": "DAWN",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "10544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jase Bakker
• Ryan M Bastyr, PT
• Catherine S. Bedford, M.D.
• Wayne David Leroy Bentham, MD
• Kristin Bentz, CNS
• Yafet W Berhane
• Abby Katrina Bernstein, PA-C
• Michaela Bertsch, PA-C
• John Bertucci, DPT
• Lori Marie Bethke, MD

• All providers in Vadnais Heights, MN
• Speech-Language Pathologist in Minnesota

• 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.