Individual provider Active NPI

Naomi May Plemon, SLP

  • Speech-Language Pathologist
  • Isanti, MN
National Provider Identifier
1467504571
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8155 Issued in MN
Practice address
904 6TH Avenue CT NE
Isanti, MN 55040-3208
Phone
(762) 444-8700
Fax
(763) 434-0192
NPI assigned
Jan 17, 2007
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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 8155 MN Primary

Addresses

Primary practice location

904 6TH Avenue CT NE
Isanti, MN 55040-3208

Mailing address

904 6TH Avenue CT NE
Isanti, MN 55040-3208
Phone (762) 444-8700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150618001360 MN Practitioner - Qualified Speech Language Pathologist 8921319955 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8155MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Associates, Inc. Speech-Language Pathologist CurrentSince Apr 21, 2015 Accepting new patients

Locations

904 6th Avenue Ct NE
Isanti, MN 55040
Phone (763) 444-7556

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1467504571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 6TH AVENUE CT NE",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550403208",
            "telephone_number": "762-444-8700",
            "fax_number": "763-434-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 6TH AVENUE CT NE",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550403208",
            "telephone_number": "762-444-8700",
            "fax_number": "763-434-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLEMON",
        "first_name": "NAOMI",
        "middle_name": "MAY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "8155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isanti, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.