Active NPI
Allison Henrickson, SLP
- Speech-Language Pathologist
- Grafton, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1757
- Practice address
- 1542 School Rd
Grafton, ND 58237-1715 - Phone
- (701) 352-1739
- NPI assigned
- Aug 12, 2019
- Last updated
- Aug 12, 2019
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1757 | ND | Primary |
Addresses
Primary practice location
1542 School Rd
Grafton, ND 58237-1715
Mailing address
516 Cooper Ave Ste 102
Grafton, ND 58237-1512
Phone (701) 352-2574
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10278 | MN | MD | Periodontist |
| 1757 | ND | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network North | Current | Accepting new patients | |
| Sanford Health Network North | Current | Accepting new patients | |
| Sanford Health Network North | Current | Accepting new patients | |
| Upper Valley Special Education | Speech-Language Pathologist | Past | Accepting new patients |
| Sanford Health Network North | Past | Accepting new patients |
Locations
120 Labree Ave S
Thief Rvr Fls, MN 56701
Phone (218) 681-0600
1720 US Highway 59 SE
Thief Rvr Fls, MN 56701
Phone (218) 681-4747
3001 Sanford Pkwy
Thief Rvr Fls, MN 56701
Phone (218) 681-4240
Organizations & group practices 5
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.
-
dba Sanford Health Southeast Campus
- Multi-Specialty Clinic/Center
- Thief River Falls, MN
- NPI 1386047355
-
dba Sanford Health Southeast Campus
- Family Medicine Physician
- Thief River Falls, MN
- NPI 1144401514
-
dba Sanford Pharmacy Thief River Falls
- Community/Retail Pharmacy
- Thief River Falls, MN
- NPI 1346423373
-
dba Sanford Medical Center Hillsboro
- Critical Access Hospital
- Hillsboro, ND
- NPI 1184725194
-
- Speech-Language Pathologist
- Grafton, ND
- NPI 1043224744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1376199810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 COOPER AVE STE 102",
"city": "GRAFTON",
"state": "ND",
"postal_code": "582371512",
"telephone_number": "701-352-2574",
"fax_number": "701-352-0188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1542 SCHOOL RD",
"city": "GRAFTON",
"state": "ND",
"postal_code": "582371715",
"telephone_number": "701-352-1739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRICKSON",
"first_name": "ALLISON",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-12",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ND",
"license": "1757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grafton, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.