Individual provider Active NPI

Andrea Rhuby

  • Speech-Language Pathologist
  • Brainerd, MN
National Provider Identifier
1447566708
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8515 Issued in MN
Practice address
15620 Edgewood Dr
Suite 240
Brainerd, MN 56401-6967
Phone
(218) 454-7012
NPI assigned
Aug 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 8515 MN Primary

Addresses

Primary practice location

15620 Edgewood Dr
Suite 240
Brainerd, MN 56401-6967

Mailing address

820 Roy St
Ortonville, MN 56278-1138

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

State licenses

LicenseStateTypeSpecialty
8515MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Big Stone Therapies, Inc Speech-Language Pathologist Past Accepting new patients
Big Stone Therapies Baxter, LLC Speech-Language Pathologist PastSince Apr 1, 2011 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.

NPI Registry JSON

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1447566708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 ROY ST",
            "city": "ORTONVILLE",
            "state": "MN",
            "postal_code": "562781138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15620 EDGEWOOD DR",
            "address_2": "SUITE 240",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564016967",
            "telephone_number": "218-454-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHUBY",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "8515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brainerd, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.