Active NPI
Alicia Reedy
- Speech-Language Pathologist
- Minnetonka, MN
National Provider Identifier
1487070215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9925
- Practice address
- 10273 Yellow Circle Dr
Minnetonka, MN 55343-9144 - Phone
- (952) 223-2506
- NPI assigned
- Mar 18, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 9925 | MN | Primary |
Addresses
Primary practice location
10273 Yellow Circle Dr
Minnetonka, MN 55343-9144
Mailing address
6833 Penn Ave S
Richfield, MN 55423-2010
Phone (507) 398-7082
Other practice location 1
58 Office Park Dr
Jacksonville, NC 28546-3218
Phone (910) 353-2440
Other practice location 2
11900 Wayzata Blvd Ste 130
Minnetonka, MN 55305-2018
Phone (507) 398-7082
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1487070215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6833 PENN AVE S",
"city": "RICHFIELD",
"state": "MN",
"postal_code": "554232010",
"telephone_number": "507-398-7082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10273 YELLOW CIRCLE DR",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553439144",
"telephone_number": "952-223-2506"
}
],
"practiceLocations": [
{
"address_1": "58 Office Park Dr",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "NC",
"postal_code": "285463218",
"country_code": "US",
"telephone_number": "910-353-2440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11900 Wayzata Blvd Ste 130",
"address_purpose": "LOCATION",
"city": "Minnetonka",
"state": "MN",
"postal_code": "553052018",
"country_code": "US",
"telephone_number": "507-398-7082",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REEDY",
"first_name": "ALICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-18",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "9925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.