Active NPI
Sarah Mae Laduke, MED CF-SLP
- Speech-Language Pathologist
- Waconia, MN
National Provider Identifier
1659866317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 10093
- Practice address
- 9346 Oak Ave
Waconia, MN 55387 - Phone
- (952) 223-2506
- NPI assigned
- Jun 26, 2018
- Last updated
- Jun 28, 2018
- 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 | 10093 | MN | Primary |
Addresses
Primary practice location
9346 Oak Ave
Waconia, MN 55387
Mailing address
15265 Minnetonka Blvd
Minnetonka, MN 55345-1510
Phone (952) 223-2506
Other practice location 1
403 Central Ave E
Saint Michael, MN 55376-5501
Phone (952) 223-2506
Other practice location 2
15265 Minnetonka Blvd
Minnetonka, MN 55345-1510
Phone (952) 223-2506
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10093 | MN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunnydays Therapy Inc | 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": "1529971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530144000000",
"number": "1659866317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15265 MINNETONKA BLVD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553451510",
"telephone_number": "952-223-2506",
"fax_number": "952-443-2038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9346 OAK AVE",
"city": "WACONIA",
"state": "MN",
"postal_code": "55387",
"telephone_number": "952-223-2506"
}
],
"practiceLocations": [
{
"address_1": "403 Central Ave E",
"address_purpose": "LOCATION",
"city": "Saint Michael",
"state": "MN",
"postal_code": "553765501",
"country_code": "US",
"telephone_number": "952-223-2506",
"fax_number": "952-443-2038",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15265 Minnetonka Blvd",
"address_purpose": "LOCATION",
"city": "Minnetonka",
"state": "MN",
"postal_code": "553451510",
"country_code": "US",
"telephone_number": "952-223-2506",
"fax_number": "952-443-2038",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LADUKE",
"first_name": "SARAH",
"middle_name": "MAE",
"name_prefix": "Mrs.",
"credential": "MED CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-26",
"last_updated": "2018-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "10093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waconia, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.