Midwest Myofunctional Services LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

MIDWEST MYOFUNCTIONAL SERVICES LLC

Practice address

11670 Fountains Dr. N
Suite 200
Maple Grove, MN 55369

Phone

(952) 994-9313

NPI assigned

Oct 31, 2022

Organization subpart

No

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

Authorized official

Name

Amy L. Chounard, MA, CCC-CLP, COM

Title

Owner, Ceo

Phone

(952) 994-3913

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1992412936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11670 FOUNTAINS DR. N",
            "address_2": "SUITE 200",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "55369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11670 FOUNTAINS DR. N",
            "address_2": "SUITE 200",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "55369",
            "telephone_number": "952-994-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MYOFUNCTIONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "CHOUNARD",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "952-994-3913",
        "authorized_official_credential": "MA, CCC-CLP, COM"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Rachel Michael, FNP-BC
• Mark Michael, RN
• Tess Michielutti, MD
• Alycia R Midas, MD
• Midwest Meditransport
• Jody Ann Mikkelson, PA-C
• Milestone Behavioral Health
• Camelia Miller
• Rachel Dawn Miller, PA-C
• Natasha Marie Mills

• Speech-Language Pathologist in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.