Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376683474 Individual Practitioner Female Practitioner

Janet Johnson , MSCCCSLP

Speech-Language Pathologist • Apple Valley, MN

Professional Overview & Biography Verified Profile Summary

Janet Johnson, MSCCCSLP is a registered healthcare professional specializing in Speech-Language Pathologist in Apple Valley, MN. Practice services are available at 14635 PENNOCK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14635 Pennock Ave
Suite 300

Apple Valley, MN 551246430

Telephone 9529972823
Fax 9529976931
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Apple Valley, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
17 Specialists

Practicing in Apple Valley, MN (3097 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

CMS Verified: 2021-10-11
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MN 5593

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
060910200 (MN)
Commercial Insurance / Payer ID Bcbs
96453JO (MN)
Commercial Insurance / Payer ID Health Partners
HP42421 (MN)
Commercial Insurance / Payer ID Medica
4600649 (MN)

Practice Associates & Co-Workers

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

9 Associated Practitioners
Dr. Rana Jaszczak , DPT

Physical Therapist

NPI 1306720560

Doctor of Physical Therapy

Christine Spray , OTRL

Occupational Therapist

NPI 1346384336

Occupational Therapist Registered & Licensed

Dr. Rachel Tressel , DPT

Physical Therapist

NPI 1578607586

Doctor of Physical Therapy

Jennifer Flesche , MACCCSLP

Speech-Language Pathologist

NPI 1619017795
Deborah Ruskell , MSTCCCSLP

Speech-Language Pathologist

NPI 1679616734
Traci Friede , OTRL

Occupational Therapist

NPI 1689869604

Occupational Therapist Registered & Licensed

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address October 11, 2021

Registered at 2795 PILOT KNOB RD, STE 100, EAGAN, MN 551211930 (Tel: 6519949644)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 14635 PENNOCK AVE, SUITE 300, APPLE VALLEY, MN 551246430 (Tel: 9529972823)

📍
Updated Business Mailing Address July 09, 2007

Registered at 4058 DEERWOOD TRL, EAGAN, MN 551221889 (Tel: 6519949644)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as JANET JOHNSON, MSCCCSLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Speech-Language Pathologist (License #5593 in MN)

🟢
Initial NPI Registration & Enumeration February 07, 2007

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: 1376683474
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2007
Last Update: October 11, 2021
Sole Proprietor: No

Mailing Address

2795 Pilot Knob Rd, Ste 100

Eagan, MN 551211930

Phone: 6519949644

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.