Active NPI
Monica Marie Purdy, M.A., CCC-SLP
- Speech-Language Pathologist
- Shoreview, MN
National Provider Identifier
1407841489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7501
- Practice address
- 490 Highway 96 W
Suite 300
Shoreview, MN 55126-1960 - Phone
- (651) 451-3016
- NPI assigned
- Sep 15, 2005
- 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 | 7501 | MN | Primary |
Addresses
Primary practice location
490 Highway 96 W
Suite 300
Shoreview, MN 55126-1960
Mailing address
6508 Chamberlain Rd
Woodbury, MN 55125-2423
Phone (651) 470-1567
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 199G6PU | Other | MN | BLUE CROSS BLUE SHIELD |
| 46-00866 | Other | MN | MEDICA |
| HP39240 | Other | MN | HEALTH PARTNERS |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7501 | MN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Abilities Indiana, Inc. | 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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407841489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6508 CHAMBERLAIN RD",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252423",
"telephone_number": "651-470-1567",
"fax_number": "866-457-7755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 HIGHWAY 96 W",
"address_2": "SUITE 300",
"city": "SHOREVIEW",
"state": "MN",
"postal_code": "551261960",
"telephone_number": "651-451-3016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURDY",
"first_name": "MONICA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "7501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "199G6PU",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "46-00866",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP39240",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shoreview, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.