Active NPI
Julie K Ernest, CCC-SLP
- Speech-Language Pathologist
- Plymouth, MN
National Provider Identifier
1821187485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6402
- Practice address
- 14425 8TH Ave N
Plymouth, MN 55447-4456 - Phone
- (651) 260-9915
- Fax
- (763) 383-6013
- NPI assigned
- Oct 12, 2006
- 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 | 6402 | MN | Primary |
Addresses
Primary practice location
14425 8TH Ave N
Plymouth, MN 55447-4456
Mailing address
14130 23Rd Ave N
Plymouth, MN 55447
Phone (763) 383-7666
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 179304700 | Medicaid | MN | |
| 34776 | Other | MN | HEALTH PARTNERS |
| 54M23ER | Other | MN | BLUE CROSS BLUE SHEILD |
| 4600382 | Other | MN | CBSA |
| 205451043548 | Other | MN | PREFERRED ONE |
| 4600382 | Other | MN | MEDICA |
| 181363 | Other | MN | U CARE |
Other names 1
- Julie Ernest
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14425 8TH Ave N
Plymouth, MN 55447-4456
Phone (612) 544-4016
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6402 | MN | MD | Speech-Language Pathologist |
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
- Plymouth, MN
- NPI 1083005664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1821187485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14130 23RD AVE N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "55447",
"telephone_number": "763-383-7666",
"fax_number": "763-383-6013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14425 8TH AVE N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554474456",
"telephone_number": "651-260-9915",
"fax_number": "763-383-6013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERNEST",
"first_name": "JULIE",
"middle_name": "K",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "6402",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "179304700",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "34776",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "54M23ER",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CBSA",
"identifier": "4600382",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "205451043548",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "4600382",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U CARE",
"identifier": "181363",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "ERNEST",
"credential": "MS,CCC/SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.