Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104342187 Individual Practitioner Female Practitioner

Kelly Tanner

Speech-Language Pathologist • Coon Rapids, MN

Professional Overview & Biography Verified Profile Summary

Kelly Tanner is a registered healthcare professional specializing in Speech-Language Pathologist in Coon Rapids, MN. Practice services are available at 9120 SPRINGBROOK DR NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9120 Springbrook Dr Nw

Coon Rapids, MN 554335845

Telephone 9527675900

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Coon Rapids, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
38 Specialists

Practicing in Coon Rapids, 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: 2022-04-14
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

40 Associated Practitioners
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Behavior Technician

NPI 1023815057
Elizabeth Meza Hernandez

Behavior Technician

NPI 1023818267
Murrae (May) Laverty

Behavior Technician

NPI 1053142968
Kennedy Hodges

Behavior Technician

NPI 1063003465
Lillian Mitchell

Behavior Technician

NPI 1063289718
Adrianna Wittrup

Behavior Technician

NPI 1073162863

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Business Mailing Address April 14, 2022

Registered at 9120 SPRINGBROOK DR NW, COON RAPIDS, MN 554335845 (Tel: 9527675900)

📍
Updated Practice Location April 08, 2022

Registered at 9120 SPRINGBROOK DR NW, COON RAPIDS, MN 554335845 (Tel: 9527675900)

📍
Updated Practice Location October 12, 2020

Registered at 6458 CITY WEST PKWY, EDEN PRAIRIE, MN 553443245 (Tel: 9527675900)

📍
Updated Business Mailing Address October 12, 2020

Registered at 11207 49TH AVE N, PLYMOUTH, MN 554422293 (Tel: 9522210251)

👤
Provider Name / Credentials Updated October 12, 2020

Recorded as KELLY TANNER

NPI Profile Active August 25, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 25, 2017

Registered at 1500 S AVE K, STATION 3 SHROC, PORTALES, NM 88130 (Tel: 5755622156)

📍
Updated Business Mailing Address August 25, 2017

Registered at 1500 S AVE K, STATION 3 SHROC, PORTALES, NM 88130

👤
Provider Name / Credentials Updated August 25, 2017

Recorded as KELLY THOMPSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 21, 2017

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: 1104342187
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2017
Last Update: April 14, 2022
Sole Proprietor: No

Mailing Address

9120 Springbrook Dr Nw

Coon Rapids, MN 554335845

Phone: 9527675900

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.