Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639717986 Individual Practitioner Female Practitioner

Kaylee Nadine Frederickson , SLP

Speech-Language Pathologist • Burnsville, MN

Professional Overview & Biography Verified Profile Summary

Kaylee Frederickson, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Burnsville, MN. Practice services are available at 14451 GRAND AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14451 Grand Ave S

Burnsville, MN 55306

Telephone 9529935900
Associated Practice Facility / Clinic
🏢 Park Nicollet Clinic Facility NPI 1790092815

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Burnsville, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.8 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
43 Specialists

Practicing in Burnsville, 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: 2020-01-06
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MN 10310

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003782046

Physical Therapist, Doctor of Physical Therapy, Certified Lymphedema Therapist

Leslie Pratt

Obstetrics & Gynecology - Maternal & Fetal Medicine

NPI 1003891565
Jennifer Deutz , PT

Physical Therapist

NPI 1013111814

Physical Therapist

NPI 1013575034

Doctor of Physical Therapy, Physical Therapist

Dr. Adam Blaschko , DPT

Physical Therapist

NPI 1013804988

Doctor of Physical Therapy

Angela Johnson , PT

Physical Therapist

NPI 1023248747

Physical Therapist

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location January 06, 2020

Registered at 14451 GRAND AVE S, BURNSVILLE, MN 55306 (Tel: 9529935900)

NPI Profile Active December 17, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location December 17, 2019

Registered at 3440 DUPONT AVE S APT 204, MINNEAPOLIS, MN 554084069 (Tel: 9202579647)

📍
Updated Business Mailing Address December 17, 2019

Registered at 3440 DUPONT AVE S APT 204, MINNEAPOLIS, MN 554084069 (Tel: 9202579647)

👤
Provider Name / Credentials Updated December 17, 2019

Recorded as KAYLEE FREDERICKSON, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2019

Speech-Language Pathologist (License #10310 in MN)

🟢
Initial NPI Registration & Enumeration December 17, 2019

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: 1639717986
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 17, 2019
Last Update: January 06, 2020
Sole Proprietor: No

Mailing Address

3440 Dupont Ave S Apt 204

Minneapolis, MN 554084069

Phone: 9202579647

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.