Individual provider Active NPI

Allison Jane Athmann

  • Speech-Language Pathologist
  • Rogers, MN
National Provider Identifier
1356836852
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9919 Issued in MN
Practice address
14000 Northdale Blvd Ste a
Rogers, MN 55374-4663
Phone
(763) 428-2478
NPI assigned
Jun 27, 2018
Last updated
Jun 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 9919 MN Primary

Addresses

Primary practice location

14000 Northdale Blvd Ste a
Rogers, MN 55374-4663

Mailing address

1214 Millstone CT
Saint Cloud, MN 56303-9568
Phone (320) 492-3641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210518001209 MN Practitioner - Qualified Speech Language Pathologist 0143639435 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9919MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Matters, Inc. Speech-Language Pathologist CurrentSince Feb 9, 2021 Accepting new patients

Locations

1994 E Rum River Dr S
Cambridge, MN 55008
Phone (952) 544-0349

2600 Fernbrook Ln N
Plymouth, MN 55447
Phone (952) 544-0349

14000 Northdale Blvd
Ste A
Rogers, MN 55374
Phone (763) 428-2478

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1356836852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 MILLSTONE CT",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563039568",
            "telephone_number": "320-492-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 NORTHDALE BLVD STE A",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744663",
            "telephone_number": "763-428-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHMANN",
        "first_name": "ALLISON",
        "middle_name": "JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.