Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922616101 Individual Practitioner Female Practitioner

Kelly Anne Schenk , MS CCC-SLP

Speech-Language Pathologist • Coon Rapids, MN

Professional Overview & Biography Verified Profile Summary

Kelly Schenk, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Coon Rapids, MN. Practice services are available at 11800 XEON BLVD NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11800 Xeon Blvd Nw

Coon Rapids, MN 554482061

Telephone 7634893637
Fax 7633122134
Associated Practice Facility / Clinic
🏢 Camilia Rose Company Inc Facility NPI 1962499566

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: 2020-07-14
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MN 9936

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
231243300 (MN)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Shauna Scepaniak , OTR, L

Occupational Therapist

NPI 1316459522

Occupational Therapist Registered, L

Macaila Hinker , OTR, L, CLT

Occupational Therapist

NPI 1811505829

Occupational Therapist Registered, L, Certified Lymphedema Therapist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 14, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 14, 2020

Registered at 11800 XEON BLVD NW, COON RAPIDS, MN 554482061 (Tel: 7634893637)

📍
Updated Business Mailing Address July 14, 2020

Registered at 11800 XEON BLVD NW, COON RAPIDS, MN 554482099

👤
Provider Name / Credentials Updated July 14, 2020

Recorded as KELLY SCHENK, MS CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2020

Speech-Language Pathologist (License #9936 in MN)

🟢
Initial NPI Registration & Enumeration July 14, 2020

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: 1922616101
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2020
Last Update: July 14, 2020
Sole Proprietor: No

Mailing Address

11800 Xeon Blvd Nw

Coon Rapids, MN 554482099

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.