Active NPI
Rachel Adele Eaton
- Speech-Language Pathologist
- Golden Valley, MN
National Provider Identifier
1700496551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 10492
- Practice address
- 5430 Glenwood Ave
Golden Valley, MN 55422-5120 - Phone
- (952) 988-5100
- NPI assigned
- Aug 6, 2020
- Last updated
- Apr 8, 2026
- 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 | 10492 | MN | Primary |
Addresses
Primary practice location
5430 Glenwood Ave
Golden Valley, MN 55422-5120
Mailing address
3959 Thames Ave
Eagan, MN 55123-4700
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10492 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Occupational Therapy, LLC | Current | Accepting new patients | |
| Advance Speech Therapy, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
6776 Lake Dr
Ste 220
Lino Lakes, MN 55014
Phone (651) 784-7007
2555 County Road E E
#102
White Bear Lake, MN 55110
Phone (651) 683-2953
Organizations & group practices 2
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.
-
dba Advance Therapy
- Occupational Therapist
- Lino Lakes, MN
- NPI 1174730899
-
dba Advance Therapy
- Speech-Language Pathologist
- Lino Lakes, MN
- NPI 1215144654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1700496551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3959 THAMES AVE",
"city": "EAGAN",
"state": "MN",
"postal_code": "551234700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5430 GLENWOOD AVE",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554225120",
"telephone_number": "952-988-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EATON",
"first_name": "RACHEL",
"middle_name": "ADELE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-06",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "10492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.