Active NPI
Angela Stromberg, CCC-SLP
- Speech-Language Pathologist
- Baxter, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9126
- Practice address
- 14387 Edgewood Dr
Baxter, MN 56425-8460 - Phone
- (218) 454-5183
- NPI assigned
- Aug 5, 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 | 9126 | MN | Primary |
Addresses
Primary practice location
14387 Edgewood Dr
Baxter, MN 56425-8460
Mailing address
14387 Edgewood Dr
Baxter, MN 56425-8460
Phone (218) 454-5183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10352 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy Partners, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
| Grazia, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Locations
108 Doctors Park
Saint Cloud, MN 56303
Phone (320) 774-3915
419 Atlantic Ave
Thief River Falls, MN 56701
Phone (218) 416-1482
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.
-
dba Pediatric Partners
- Occupational Therapist
- Thief River Falls, MN
- NPI 1457479958
Speech-Language Pathologist
-
dba Family Achievement Center of Central Minnesota
- Occupational Therapist
- Saint Cloud, MN
- NPI 1184488280
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1508275454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14387 EDGEWOOD DR",
"city": "BAXTER",
"state": "MN",
"postal_code": "564258460",
"telephone_number": "218-454-5183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14387 EDGEWOOD DR",
"city": "BAXTER",
"state": "MN",
"postal_code": "564258460",
"telephone_number": "218-454-5183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROMBERG",
"first_name": "ANGELA",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-05",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "9126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baxter, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.