Active NPI
Julie Nowariak
- Speech-Language Pathologist
- New Hope, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 528543
- Practice address
- 9220 Bass Lake Rd Ste 260
New Hope, MN 55428-3019 - Phone
- (763) 533-0363
- NPI assigned
- May 1, 2023
- 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 | 528543 | MN | Primary |
Addresses
Primary practice location
9220 Bass Lake Rd Ste 260
New Hope, MN 55428-3019
Mailing address
11661 Xylon Ave N
Champlin, MN 55316-2776
Phone (763) 438-5920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 528543 | MN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Health Services | Past | Accepting new patients |
Locations
3305 Central Park Village Dr
Ste 130
Eagan, MN 55121
Phone (651) 406-8701
3400 W 66th St
Ste 290
Minneapolis, MN 55435
Phone (952) 836-3637
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
9220 Bass Lake Rd
Ste 260
New Hope, MN 55428
Phone (763) 533-0363
3305 Central Park Village Dr
#130
Saint Paul, MN 55121
2270 Ford Pkwy
Ste 200
Saint Paul, MN 55116
Phone (651) 696-5000
1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740
Organizations & group practices 4
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.
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- Physical Therapist
- Eagan, MN
- NPI 1881141349
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1942998539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11661 XYLON AVE N",
"city": "CHAMPLIN",
"state": "MN",
"postal_code": "553162776",
"telephone_number": "763-438-5920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9220 BASS LAKE RD STE 260",
"city": "NEW HOPE",
"state": "MN",
"postal_code": "554283019",
"telephone_number": "763-533-0363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWARIAK",
"first_name": "JULIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-01",
"last_updated": "2023-05-01",
"certification_date": "2023-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "528543",
"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 May 1, 2023; 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.