Active NPI
Rebecca Thrash
- Speech-Language Pathologist
- Fargo, ND
National Provider Identifier
1790808897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 607
- Practice address
- 10318 6TH St S
Fargo, ND 58104-8116 - Phone
- (701) 238-3908
- Fax
- (701) 232-2330
- NPI assigned
- Apr 6, 2007
- 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 | 607 | ND | Primary |
Addresses
Primary practice location
10318 6TH St S
Fargo, ND 58104-8116
Mailing address
3274 Evergreen Rd N
Fargo, ND 58102-1217
Phone (701) 232-2340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51094 | Medicaid | ND |
Other names 1
- Becky Thrash
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 607 | ND | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Speech Solutions Incorporated | 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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Fargo, ND
- NPI 1174679534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790808897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3274 EVERGREEN RD N",
"city": "FARGO",
"state": "ND",
"postal_code": "581021217",
"telephone_number": "701-232-2340",
"fax_number": "701-232-2330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10318 6TH ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581048116",
"telephone_number": "701-238-3908",
"fax_number": "701-232-2330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THRASH",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ND",
"license": "607",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "51094",
"state": "ND"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BECKY",
"last_name": "THRASH",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.