Erica Entzminger, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1779 Issued in ND

Practice address

3500 42ND St S Ste 101
Fargo, ND 58104-6945

Phone

(701) 936-7949

Fax

(952) 222-1994

NPI assigned

Aug 16, 2019

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 26, 2021.

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1467008243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 42ND ST S STE 101",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046945",
            "telephone_number": "701-936-7949",
            "fax_number": "952-222-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 42ND ST S STE 101",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046945",
            "telephone_number": "701-936-7949",
            "fax_number": "952-222-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENTZMINGER",
        "first_name": "ERICA",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "1779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle I Enockson, OT
• Roger Tambe Enow Tambe
• Angela Marie Ensrud, SOLE PROPRIETOR
• Taylor N Ensrude, DDS
• Entwine, LLC
• Brittany Enzminger
• Mary Katharine Epping, LAC, LCSW
• Elizabeth Erber
• Adrienne Erdmann
• Kelli Erdmann, OTR/L

• All providers in Fargo, ND
• Speech-Language Pathologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.