Active NPI
Christina Alice Prindle
- Speech-Language Pathologist
- Edina, MN
National Provider Identifier
1396988713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5744
- Practice address
- 7250 France Ave S
Suite 305
Edina, MN 55435-4305 - Phone
- (952) 285-2840
- NPI assigned
- Apr 15, 2009
- 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 | 5744 | MN | Primary |
Addresses
Primary practice location
7250 France Ave S
Suite 305
Edina, MN 55435-4305
Mailing address
4936 Hanson Rd
Shoreview, MN 55126-5907
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 |
|---|---|---|---|
| 5744 | MN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capernaum Pediatric Therapy, Inc. | Past | Accepting new patients | |
| Capernaum Pediatric Therapy, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Edina, MN
- NPI 1336393297
-
- Specialist
- Richfield, MN
- NPI 1619978228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239753600000",
"number": "1396988713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4936 HANSON RD",
"city": "SHOREVIEW",
"state": "MN",
"postal_code": "551265907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7250 FRANCE AVE S",
"address_2": "SUITE 305",
"city": "EDINA",
"state": "MN",
"postal_code": "554354305",
"telephone_number": "952-285-2840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINDLE",
"first_name": "CHRISTINA",
"middle_name": "ALICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-15",
"last_updated": "2009-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "5744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.