Individual provider Active NPI

Ida Adams, MS-CCC/SLP

  • Speech-Language Pathologist
  • New Prague, MN
National Provider Identifier
1790757573
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5931 Issued in MN
Practice address
314 Main St E
Suite 3
New Prague, MN 56071-2448
Phone
(952) 758-5775
Fax
(952) 758-5778
NPI assigned
Feb 6, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 5931 MN Primary

Addresses

Primary practice location

314 Main St E
Suite 3
New Prague, MN 56071-2448

Mailing address

30576 Cedar LN
Le Sueur, MN 56058-4346
Phone (952) 758-5775

Other identifiers 3

IdentifierTypeStateIssuer
93G70ADOtherFMMN BCBS NUMBER
HP54088OtherMNMN HEALTHPARTNERS NUMBER
7341712OtherMNMN AETNA NUMBER

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

LicenseStateTypeSpecialty
5931MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy for Me Speech-Language Pathologist CurrentSince Jan 8, 2023 Accepting new patients

Locations

7570 Market Place Dr
Eden Prairie, MN 55344
Phone (952) 944-0240

7624 Executive Dr
Eden Prairie, MN 55344
Phone (952) 944-0240

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790757573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30576 CEDAR LN",
            "city": "LE SUEUR",
            "state": "MN",
            "postal_code": "560584346",
            "telephone_number": "952-758-5775",
            "fax_number": "952-758-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 MAIN ST E",
            "address_2": "SUITE 3",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560712448",
            "telephone_number": "952-758-5775",
            "fax_number": "952-758-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "IDA",
        "credential": "MS-CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "5931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BCBS NUMBER",
            "identifier": "93G70AD",
            "state": "FM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN HEALTHPARTNERS NUMBER",
            "identifier": "HP54088",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN AETNA NUMBER",
            "identifier": "7341712",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Prague, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.