Individual provider Active NPI

Paula Jean Entsminger, MS, CCC, SLP

  • Speech-Language Pathologist
  • Ham Lake, MN
National Provider Identifier
1922450188
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LICC-1360 Issued in MN
Practice address
14916 Central Ave NE
Ham Lake, MN 55304-6114
Phone
(612) 850-5109
NPI assigned
Jul 11, 2016
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 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 LICC-1360 MN Primary

Addresses

Primary practice location

14916 Central Ave NE
Ham Lake, MN 55304-6114

Mailing address

14916 Central Ave NE
Ham Lake, MN 55304-6114
Phone (612) 850-5109

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LICC-1360MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fraser Child and Family Center CurrentSince Sep 15, 2023 Accepting new patients
Fraser PastSince Oct 5, 2021 Accepting new patients

Locations

9120 Springbrook Dr NW
Minneapolis, MN 55433
Phone (763) 231-2590

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1922450188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14916 CENTRAL AVE NE",
            "city": "HAM LAKE",
            "state": "MN",
            "postal_code": "553046114",
            "telephone_number": "612-850-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14916 CENTRAL AVE NE",
            "city": "HAM LAKE",
            "state": "MN",
            "postal_code": "553046114",
            "telephone_number": "612-850-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENTSMINGER",
        "first_name": "PAULA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "LICC-1360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ham Lake, MN

Sources for this page

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