Individual provider Active NPI

Maya Saupe

  • Speech-Language Pathologist
  • Maple Grove, MN
National Provider Identifier
1467062281
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10493 Issued in MN
Practice address
6936 Garland LN N
Maple Grove, MN 55311-4642
Phone
(763) 416-9313
NPI assigned
Aug 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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 10493 MN Primary

Addresses

Primary practice location

6936 Garland LN N
Maple Grove, MN 55311-4642

Mailing address

2880 Irving Ave S Apt 3
Minneapolis, MN 55408-1814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220519000780 MN Practitioner - Qualified Speech Language Pathologist 5799162319 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Family Partnership CurrentSince Jun 23, 2024 Accepting new patients
Kidspeak LTD. Speech-Language Pathologist CurrentSince Jan 17, 2022 Accepting new patients

Locations

11670 Fountains Dr N
Ste 200
Maple Grove, MN 55369
Phone (612) 355-0693

1501 Xerxes Ave N
Minneapolis, MN 55411
Phone (612) 728-2061

1527 E Lake St
Minneapolis, MN 55407
Phone (612) 345-7175

3433 Broadway St NE
Ste 230
Minneapolis, MN 55413

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": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1467062281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 IRVING AVE S APT 3",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554081814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6936 GARLAND LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553114642",
            "telephone_number": "763-416-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUPE",
        "first_name": "MAYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "10493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.