Active NPI
Minneapolis V a Medical Center
- General Acute Care Hospital
- Minneapolis, MN
National Provider Identifier
1902910375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 5526
- Legal business name
- MINNEAPOLIS V A MEDICAL CENTER
- Practice address
- One Veteran's Drive 127a
Minneapolis, MN 55417 - Phone
- (612) 467-3591
- Fax
- (612) 727-5693
- NPI assigned
- Aug 19, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Martha Elizabeth Manthie, M.A. CCC-SLP
- Title
- Speech Language Pathologist
- Phone
- (612) 467-3591
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 5526 | MN | Primary |
Addresses
Primary practice location
One Veteran's Drive 127a
Minneapolis, MN 55417
Mailing address
5209 16TH Ave S
Minneapolis, MN 55417-1813
Phone (612) 724-8912
National Provider Directory
National Provider DirectoryLocations
1 Veterans Dr
#127A
Minneapolis, MN 55417
Phone (612) 467-3591
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Minneapolis, MN
- NPI 1760647135
-
- Speech-Language Pathologist
- Minneapolis, MN
- NPI 1700988599
-
- Speech-Language Pathologist
- Minneapolis, MN
- NPI 1205943230
-
- Speech-Language Pathologist
- Minneapolis, MN
- NPI 1124132857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1902910375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5209 16TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554171813",
"telephone_number": "612-724-8912",
"fax_number": "612-727-5693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE VETERAN'S DRIVE 127A",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55417",
"telephone_number": "612-467-3591",
"fax_number": "612-727-5693"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINNEAPOLIS V A MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MANTHIE",
"authorized_official_first_name": "MARTHA",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "612-467-3591",
"authorized_official_credential": "M.A. CCC-SLP"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "MN",
"license": "5526",
"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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.