Individual provider Active NPI

Sandra Kay Paul, MA/CCC-SLP

  • Speech-Language Pathologist
  • Moorhead, MN
National Provider Identifier
1881958809
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8281 Issued in MN
Practice address
2912 15TH St S Ste C
Moorhead, MN 56560-5151
Phone
(218) 359-0505
NPI assigned
Jun 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 8281 MN Primary
Speech-Language Pathologist 235Z00000X 626 ND

Addresses

Primary practice location

2912 15TH St S Ste C
Moorhead, MN 56560-5151

Mailing address

2912 15TH St S Ste C
Moorhead, MN 56560-5151
Phone (218) 359-0505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220214001067 MN Practitioner - Qualified Speech Language Pathologist 7113310293 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
626NDMDPsychologist
8281MNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reading Therapy Center Inc Speech-Language Pathologist CurrentSince Feb 2, 2022 Accepting new patients

Locations

2912 15th St S
#C
Moorhead, MN 56560
Phone (218) 359-0505

5354 Edgewood Dr
Saint Paul, MN 55112

615 Becker Ave SW
Willmar, MN 56201
Phone (320) 214-7011

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.

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1881958809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 15TH ST S STE C",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605151",
            "telephone_number": "218-359-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 15TH ST S STE C",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605151",
            "telephone_number": "218-359-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "SANDRA",
        "middle_name": "KAY",
        "credential": "MA/CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "8281",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "626",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.

Verify at the official NPI Registry.