UNIVERSITY OF NORTH DAKOTA (NPI# 1093910762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093910762 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF NORTH DAKOTA |
| Other Organization Name | UND SPEECH LANGUAGE & HEARING CLINIC |
| Practice Address |
290 Centennial Dr Montgomery Hall Room 101 Grand Forks ND 58202-6063 |
| Mailing Address |
290 Centennial Dr Stop 8040 Grand Forks ND 58202-8040 |
| Practice Telephone | 7017773727 |
| Mailing Telephone | 7017773232 |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2008-07-21 |
| Authorized Official Name | DR. JOHN P MADDEN (DEPARTMENT CHAIR) |
| Authorized Official Telephone | 7017773232 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF NORTH DAKOTA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers | ||
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 50055 | 05 |
| Other Name | Type Code |
|---|---|
| UND Speech Language & Hearing Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013032663 | University of North Dakota | Clinic/Center | 501 N Columbia Rd Stop 9037, Room 5918 Medical School, Grand Forks, ND 58202-9037 | 2007-03-20 |
| 1619905528 | University of North Dakota | Family Medicine | 701 E. Rosser Ave., Bismarck, ND 58501-4461 | 2006-06-29 |
| 1790762318 | University of North Dakota | Pharmacy | 2891 2nd Ave N Stop 9038, Mccannel Hall Rm 100, Grand Forks, ND 58202-9038 | 2005-12-23 |
| 1952969099 | University of North Dakota | Counselor | 501 N Columbia Rd Stop 7132, Grand Forks, ND 58203-2817 | 2019-06-04 |
| 1538428610 | University of North Dakota | Pharmacy | 701 E Rosser Ave, Bismarck, ND 58501-4461 | 2012-05-10 |
| 1649469255 | University of North Dakota | Clinic/Center | 515 E Broadway Ave, Bismarck, ND 58501-4407 | 2007-10-19 |
| 1982734042 | University of North Dakota | Pharmacist | 1201 11th Ave Sw, Minot, ND 58701-4207 | 2007-03-07 |
| 1215080437 | University of North Dakota | Clinic/Center | 2751 2nd Ave N Stop 9013, Hyslop Sports Center Room 115, Grand Forks, ND 58202-9013 | 2007-01-19 |
| 1316008238 | University of North Dakota | Family Medicine | 1201 11th Ave Sw, Minot, ND 58701-4207 | 2006-12-13 |
| Street Address |
290 CENTENNIAL DR MONTGOMERY HALL ROOM 101 |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58202-6063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639267735 | Peggy D. Biberdorf | Speech-Language Pathologist | 290 Centennial Dr, Stop 8040, Grand Forks, ND 58202-6063 | 2006-10-11 |
| 1841732443 | Sarah Wocken | Speech-Language Pathologist | 290 Centennial Dr, Stop 8040, Grand Forks, ND 58202-6063 | 2016-11-14 |
| 1609077148 | Wayne Everett Swisher | Speech-Language Pathologist | 290 Centennial Dr, Box 8040, Grand Forks, ND 58202-6063 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538541958 | Matthew Cziep | Surgery | 1301 N Columbia Rd Rm E270, Grand Forks, ND 58202 | 2015-06-22 |
| 1306836937 | Elizabeth Ann Tyree | Physician Assistant | 5th Avenue North and Harvard Streets, Grand Forks, ND 58202 | 2005-10-25 |
| 1962054171 | Zachery Tyler Staskywicz | Surgery | University of North Dakota Smhs Department of Surgery, 1301 North Columbia Road Stop 9037, Grand Forks, ND 58202 | 2019-07-09 |
| 1013390129 | Seye Adekeye | Surgery | 501 N Columbia Rd Stop 9037, Und Department of Surgery, Grand Forks, ND 58202 | 2015-07-07 |
| 1477894285 | Eva Michelle Beeker | Counselor | Mccannel Hall Room 200, 2891 2nd Ave N Stop 9042, Grand Forks, ND 58202-0798 | 2013-03-05 |
| 1821509274 | Anv Services LLC | Clinic/Center | 4201 James Ray Dr, Grand Forks, ND 58202-6026 | 2017-10-12 |
| 1558759308 | Mayumi Ogino | Specialist/Technologist | 2751 2nd Ave N Rm 115, Mail Stop 9013, Grand Forks, ND 58202-6060 | 2015-01-02 |
| 1255732988 | Alicia Champagne | Specialist/Technologist | 2751 2nd Ave N, Stop 9013, Grand Forks, ND 58202-6060 | 2014-09-12 |
| 1235764432 | Mikala Jo Springer | Student in an Organized Health Care Education/Training Program | 2751 2nd Ave N, Grand Forks, ND 58202-6060 | 2020-03-08 |
| 1790341972 | Katelynn Marie Kostelecky | Physical Therapist | 2751 2nd Ave N Rm 115, Grand Forks, ND 58202-6060 | 2019-05-14 |
| Find all providers in zip 58202 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033771639 | Meredith A. Christiansen | Speech-Language Pathologist | 2600 Demers Ave Ste 101, Grand Forks, ND 58201-4100 | 2019-07-03 |
| 1881253755 | Jessica Qualley | Speech-Language Pathologist | 1375 S Columbia Rd, Grand Forks, ND 58201-4015 | 2019-06-13 |
| 1588144539 | Crystal Baerwald | Speech-Language Pathologist | 2810 19th Ave S, Grand Forks, ND 58201-5957 | 2018-08-20 |
| 1487056966 | Nicole Reybok | Speech-Language Pathologist | 605 Stanford Rd, Grand Forks, ND 58203-2128 | 2014-09-16 |
| 1659797587 | Anita Rae Klenner | Speech-Language Pathologist | 701 Walnut St, Grand Forks, ND 58201-4835 | 2014-03-17 |
| 1285987081 | Andrea Rachelle Volk | Speech-Language Pathologist | 121 N Washington St, Grand Forks, ND 58203-3400 | 2012-10-18 |
| 1619227212 | Erin Kocourek | Speech-Language Pathologist | 3000 Cherry St, Grand Forks, ND 58201-7400 | 2012-09-12 |
| 1699063875 | Michelle Rae Spicer | Speech-Language Pathologist | 1200 S Columbia Rd -altru Hospital, Grand Forks, ND 58201 | 2011-07-21 |
| 1841583820 | Chelsey J. Kjono | Speech-Language Pathologist | 2512 S Washington St Ste C, Grand Forks, ND 58201 | 2011-05-24 |
| 1750578316 | Sandra Diane Carr | Speech-Language Pathologist | 3633 10th Ave N, Grand Forks, ND 58203-2006 | 2007-09-27 |
| Find all providers in GRAND FORKS | ||||
| City | GRAND FORKS |
| Zip Code | 58202 |
Please comment or provide details below to improve the information on UNIVERSITY OF NORTH DAKOTA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.