Active NPI
Madelyn James
- Speech-Language Pathologist
- Minneapolis, MN
National Provider Identifier
1831871961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 3960 Coon Rapids Blvd NW
Minneapolis, MN 55433-2569 - Phone
- (763) 236-7337
- NPI assigned
- Aug 7, 2023
- Last updated
- Aug 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
3960 Coon Rapids Blvd NW
Minneapolis, MN 55433-2569
Mailing address
4616 Bluebell TRL N
Medina, MN 55340-4573
Phone (763) 607-2838
Other practice location 1
10955 Wayzata Blvd
Minnetonka, MN 55305-1566
Phone (763) 417-1077
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahr Minnetonka MN SH TRS Sub, LLC | Past | Accepting new patients |
Interoperability endpoints
- mjames596446@excellian.direct.allina.com
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.
-
- Assisted Living Facility
- Minnetonka, MN
- NPI 1346189891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1831871961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4616 BLUEBELL TRL N",
"city": "MEDINA",
"state": "MN",
"postal_code": "553404573",
"telephone_number": "763-607-2838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3960 COON RAPIDS BLVD NW",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554332569",
"telephone_number": "763-236-7337"
}
],
"practiceLocations": [
{
"address_1": "10955 Wayzata Blvd",
"address_purpose": "LOCATION",
"city": "Minnetonka",
"state": "MN",
"postal_code": "553051566",
"country_code": "US",
"telephone_number": "763-417-1077",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAMES",
"first_name": "MADELYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-07",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.