Active NPI
Shiloh Ricker
- Speech-Language Pathologist
- Lino Lakes, MN
National Provider Identifier
1396694311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 410454
- Practice address
- 575 Birch St
Lino Lakes, MN 55014-1369 - Phone
- (763) 792-6143
- NPI assigned
- Jan 23, 2026
- Sex
- Unspecified or another gender identity
- 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 | 410454 | MN | Primary |
Addresses
Primary practice location
575 Birch St
Lino Lakes, MN 55014-1369
Mailing address
575 Birch St
Lino Lakes, MN 55014-1369
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 410454 | MN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769126400000",
"number": "1396694311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 BIRCH ST",
"city": "LINO LAKES",
"state": "MN",
"postal_code": "550141369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 BIRCH ST",
"city": "LINO LAKES",
"state": "MN",
"postal_code": "550141369",
"telephone_number": "763-792-6143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKER",
"first_name": "SHILOH",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-01-23",
"last_updated": "2026-01-23",
"certification_date": "2026-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "410454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lino Lakes, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.