Active NPI
Annie Tate, MA, CCC SLP
- Speech-Language Pathologist
- Arden Hills, MN
National Provider Identifier
1376819771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8501
- Practice address
- 1260 West County Road E
Arden Hills, MN 55112 - Phone
- (651) 639-0942
- Fax
- (651) 639-1718
- NPI assigned
- Mar 29, 2012
- Last updated
- Mar 29, 2012
- 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 | 8501 | MN | Primary |
Addresses
Primary practice location
1260 West County Road E
Arden Hills, MN 55112
Mailing address
561 West 7TH Street
St. Paul, MN 55102
Phone (651) 225-4558
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8501 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Speech and Language | Past | Accepting new patients |
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.
-
- Hearing and Speech Clinic/Center
- Arden Hills, MN
- NPI 1003188749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332979200000",
"number": "1376819771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "561 WEST 7TH STREET",
"city": "ST. PAUL",
"state": "MN",
"postal_code": "55102",
"telephone_number": "651-225-4558",
"fax_number": "651-225-9474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 WEST COUNTY ROAD E",
"city": "ARDEN HILLS",
"state": "MN",
"postal_code": "55112",
"telephone_number": "651-639-0942",
"fax_number": "651-639-1718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATE",
"first_name": "ANNIE",
"credential": "MA, CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-29",
"last_updated": "2012-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "8501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arden Hills, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.