Individual provider Active NPI

Ashley Maria Engles, M.S. CF-SLP

  • Speech-Language Pathologist
  • Gaylord, MN
National Provider Identifier
1639503980
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9144 Issued in MN
Practice address
640 3Rd St
Gaylord, MN 55334-2297
Phone
(507) 237-5744
NPI assigned
Aug 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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 9144 MN Primary

Addresses

Primary practice location

640 3Rd St
Gaylord, MN 55334-2297

Mailing address

631 E Prince St
PO Box 937
Lake Crystal, MN 56055-2047
Phone (507) 327-0984

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

State licenses

LicenseStateTypeSpecialty
9144MNMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1639503980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 E PRINCE ST",
            "address_2": "PO BOX 937",
            "city": "LAKE CRYSTAL",
            "state": "MN",
            "postal_code": "560552047",
            "telephone_number": "507-327-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 3RD ST",
            "city": "GAYLORD",
            "state": "MN",
            "postal_code": "553342297",
            "telephone_number": "507-237-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLES",
        "first_name": "ASHLEY",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "M.S. CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.