Individual provider Active NPI

Amy Jo Robinson, MS, CCC - SLP

  • Speech-Language Pathologist
  • Grand Forks, ND
National Provider Identifier
1487177275
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1563 Issued in ND
Practice address
2016 S Washington St
Grand Forks, ND 58201-6342
Phone
(701) 757-4200
NPI assigned
Jul 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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 1563 ND Primary

Addresses

Primary practice location

2016 S Washington St
Grand Forks, ND 58201-6342

Mailing address

501 North Columbia Road, Stop 8040
University of North Dakota, Room 1119
Grand Forks, ND 58202-8040

Other names 1

  • Mrs. Amy Jo Brossart-Robinson Professional name

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Carlsen Center Speech-Language Pathologist CurrentSince Feb 28, 2025 Accepting new patients
Anne Carlsen Center PastSince Sep 10, 2023 Accepting new patients

Locations

2016 S Washington St
Grand Forks, ND 58201
Phone (701) 757-4200

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": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1487177275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 NORTH COLUMBIA ROAD, STOP 8040",
            "address_2": "UNIVERSITY OF NORTH DAKOTA, ROOM 1119",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582028040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 S WASHINGTON ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016342",
            "telephone_number": "701-757-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "AMY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC - SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "1563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BROSSART-ROBINSON",
            "middle_name": "JO",
            "prefix": "MRS.",
            "credential": "MS, CCC-SLP, CBIS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.