Individual provider Active NPI

Julia Anna Blonigen, M.S., CCC-SLP

  • Speech-Language Pathologist
  • St Cloud, MN
National Provider Identifier
1861490690
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5029 Issued in MN
Practice address
1882 Kilian Blvd
St Cloud, MN 56304
Phone
(320) 251-4038
Fax
(320) 251-4038
NPI assigned
Jul 14, 2005
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 5029 MN Primary

Addresses

Primary practice location

1882 Kilian Blvd
St Cloud, MN 56304

Mailing address

1882 Kilian Blvd
St Cloud, MN 56304
Phone (320) 251-4038

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5029MNMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1861490690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1882 KILIAN BLVD",
            "city": "ST CLOUD",
            "state": "MN",
            "postal_code": "56304",
            "telephone_number": "320-251-4038",
            "fax_number": "320-251-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1882 KILIAN BLVD",
            "city": "ST CLOUD",
            "state": "MN",
            "postal_code": "56304",
            "telephone_number": "320-251-4038",
            "fax_number": "320-251-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLONIGEN",
        "first_name": "JULIA",
        "middle_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "5029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Cloud, 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.