Organization Active NPI

Lepmiz Speech-Language Pathology, LLC

  • Speech-Language Pathologist
  • Brainerd, MN
National Provider Identifier
1508859570
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
LEPMIZ SPEECH-LANGUAGE PATHOLOGY, LLC
Practice address
200 NW 6TH St
Brainerd, MN 56401-3268
Phone
(218) 824-7030
Fax
(218) 824-7030
NPI assigned
Aug 25, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Renae Suzanne Stueber, MS/CCCNPI 1225021330
Title
President
Phone
(218) 838-4271

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X MN Primary

Addresses

Primary practice location

200 NW 6TH St
Brainerd, MN 56401-3268

Mailing address

200 NW 6TH St
Brainerd, MN 56401-3268
Phone (218) 824-7030

Other identifiers 1

IdentifierTypeStateIssuer
874S2LEOtherMNBCBS OF MN

National Provider Directory

National Provider Directory

Locations

200 NW 6th St
Brainerd, MN 56401
Phone (218) 824-7030

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508859570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NW 6TH ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013268",
            "telephone_number": "218-824-7030",
            "fax_number": "218-824-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NW 6TH ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013268",
            "telephone_number": "218-824-7030",
            "fax_number": "218-824-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEPMIZ SPEECH-LANGUAGE PATHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STUEBER",
        "authorized_official_first_name": "RENAE",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-838-4271",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS/CCC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "874S2LE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brainerd, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.