Ashley Michelle Haugen

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9989 Issued in MN

Practice address

310 Red Lake Blvd Ste B
Thief River Falls, MN 56701-2133

Phone

(701) 739-5437

Fax

(701) 746-9198

NPI assigned

Oct 11, 2017

Last updated

Oct 11, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ashley Michelle Peterson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pediatric Therapy Partners, Inc.

  dba Pediatric Partners

  • Occupational Therapist
  • Thief River Falls, MN
  • NPI 1457479958

  Speech-Language Pathologist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1437669876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 4TH ST NE",
            "city": "EAST GRAND FORKS",
            "state": "MN",
            "postal_code": "567212415",
            "telephone_number": "218-686-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 RED LAKE BLVD STE B",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "567012133",
            "telephone_number": "701-739-5437",
            "fax_number": "701-746-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGEN",
        "first_name": "ASHLEY",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "PETERSON",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chandra S Gottipati, MBBS
• Anupama Grandhi, DDS
• Great North Acupuncture LLC
• Great Plains EMS, Inc
• Sarah Omar Modawi Hamad, M.D.
• Health Quest Family Chiropractic, LLC
• Hearing on Main Corporation
• Riley I Henricson
• William Hess, PHARM. D.
• Kelsey Hest, DPT

• Speech-Language Pathologist in Thief River Falls, MN
• Providers in Thief River Falls, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.