Tessa Maye Simon, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1219 Issued in ND

Practice address

1150 Prairie Pkwy
Suite 105
West Fargo, ND 58078-3168

Phone

(701) 356-7766

Fax

(701) 356-7765

NPI assigned

Jun 15, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tessa Maye Erickson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Progressive Therapy Associates

  • Speech-Language Pathologist
  • Fargo, ND
  • NPI 1699075945
  NPD (past)

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1669734547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 PRAIRIE PKWY",
            "address_2": "SUITE 105",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580783168",
            "telephone_number": "701-356-7766",
            "fax_number": "701-356-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 PRAIRIE PKWY",
            "address_2": "SUITE 105",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580783168",
            "telephone_number": "701-356-7766",
            "fax_number": "701-356-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "TESSA",
        "middle_name": "MAYE",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-15",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "1219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESSA",
            "last_name": "ERICKSON",
            "middle_name": "MAYE",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Serenity Christian Homes
• Serenity Christian Homes Inc.
• Jessica Sharp
• Alyssa A Shirek, OT
• Scott Simley
• Alexandra Simonitch
• Daniel Simpson
• Alyssa Marie Sinner, LMT
• Landra Sjokvist
• Samantha Sjulestad

• Speech-Language Pathologist in West Fargo, ND
• Providers in West Fargo, ND by specialty
• Speech-Language Pathologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.