Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790072569 Individual Practitioner Female Practitioner

Patricia Sullivan , MS-SLP

Speech-Language Pathologist • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Patricia Sullivan, MS-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Fargo, ND. Practice services are available at 1702 UNIVERSITY DR S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1702 University Dr S

Fargo, ND 581034940

Telephone 7013643300
Fax 7013648906
Associated Practice Facility / Clinic
🏢 Dakota Clinic, Ltd. Facility NPI 1740231182

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
259 Specialists

Practicing in Fargo, ND (1024 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License ND 9

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
55850 (ND)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Bangalore Vijayalakshmi , MD

Physical Medicine & Rehabilitation

NPI 1003843574

Doctor of Medicine (M.D.)

Dr. David Carlson , MD

Internal Medicine

NPI 1013947100

Doctor of Medicine (M.D.)

Dr. Robert Renschler , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1023363587

Doctor of Podiatric Medicine

NPI 1033134374

Doctor of Optometry

NPI 1033430780

Doctor of Medicine (M.D.)

Dr. Bess Martin , PhD, LP

Clinical Neuropsychologist

NPI 1043415318

Doctor of Philosophy (Ph.D.), Licensed Psychologist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 10, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 10, 2011

Registered at 1702 UNIVERSITY DR S, FARGO, ND 581034940 (Tel: 7013643300)

📍
Updated Business Mailing Address November 10, 2011

Registered at PO BOX 6001, FARGO, ND 581086001 (Tel: 7013643300)

👤
Provider Name / Credentials Updated November 10, 2011

Recorded as PATRICIA SULLIVAN, MS-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2011

Speech-Language Pathologist (License #9 in ND)

🟢
Initial NPI Registration & Enumeration June 30, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790072569
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2011
Last Update: November 10, 2011
Sole Proprietor: No

Mailing Address

Po Box 6001

Fargo, ND 581086001

Phone: 7013643300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.