Active NPI
Emily Penrod, MSCCCSLP
- Speech-Language Pathologist
- New Hope, MN
National Provider Identifier
1932518271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9101
- Practice address
- 9220 Bass Lake Rd
Suite 260
New Hope, MN 55428-3000 - Phone
- (763) 533-0363
- NPI assigned
- Aug 12, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 9101 | MN | Primary |
Addresses
Primary practice location
9220 Bass Lake Rd
Suite 260
New Hope, MN 55428-3000
Mailing address
9220 Bass Lake Rd
Suite 260
New Hope, MN 55428-3000
Phone (763) 533-0363
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9101 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407801600000",
"number": "1932518271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9220 BASS LAKE RD",
"address_2": "SUITE 260",
"city": "NEW HOPE",
"state": "MN",
"postal_code": "554283000",
"telephone_number": "763-533-0363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9220 BASS LAKE RD",
"address_2": "SUITE 260",
"city": "NEW HOPE",
"state": "MN",
"postal_code": "554283000",
"telephone_number": "763-533-0363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENROD",
"first_name": "EMILY",
"credential": "MSCCCSLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-12",
"last_updated": "2014-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "9101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Hope, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.