Individual provider Active NPI

Peggy D. Biberdorf, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Grand Forks, ND
National Provider Identifier
1639267735
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
310 Issued in ND
Practice address
290 Centennial Dr
Stop 8040
Grand Forks, ND 58202-6063
Phone
(701) 777-3232
NPI assigned
Oct 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 310 ND Primary

Addresses

Primary practice location

290 Centennial Dr
Stop 8040
Grand Forks, ND 58202-6063

Mailing address

1618 Lewis Blvd
Grand Forks, ND 58203-1639
Phone (701) 775-2694

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
310NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Dakota Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639267735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 LEWIS BLVD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582031639",
            "telephone_number": "701-775-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 CENTENNIAL DR",
            "address_2": "STOP 8040",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582026063",
            "telephone_number": "701-777-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBERDORF",
        "first_name": "PEGGY",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2007; 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.