Active NPI
Terri Cunningham
- Speech-Language Pathologist
- Maplewood, MN
National Provider Identifier
1831233121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7877
- Practice address
- 3000 White Bear Ave N Ste 28
Maplewood, MN 55109-1324 - Phone
- (651) 770-8884
- NPI assigned
- Feb 19, 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 | 7877 | MN | Primary |
Addresses
Primary practice location
3000 White Bear Ave N Ste 28
Maplewood, MN 55109-1324
Mailing address
7130 Brian Dr
Centerville, MN 55038-8729
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230427001428 | MN | Practitioner - Qualified Speech Language Pathologist | 3274998133 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7877 | MN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Abilities, Inc | Current | Accepting new patients | |
| Kids Abilities, Inc. | Current | Accepting new patients |
Locations
4638 Victor Path
Ste 100
Hugo, MN 55038
Phone (651) 407-3777
490 Highway 96 W
Shoreview, MN 55126
Phone (651) 415-5490
490 Highway 96 W
Ste 300
Shoreview, MN 55126
Phone (651) 451-3016
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 and National Provider Directory roles.
-
- Clinic/Center
- Hugo, MN
- NPI 1184948572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831233121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7130 BRIAN DR",
"city": "CENTERVILLE",
"state": "MN",
"postal_code": "550388729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 WHITE BEAR AVE N STE 28",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551091324",
"telephone_number": "651-770-8884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "TERRI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "7877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maplewood, MN
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.