Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306930086 Individual Practitioner Male Practitioner

Jack D. Avery , CCC, SLP

Speech-Language Pathologist • Minneapolis, MN

Professional Overview & Biography Verified Profile Summary

Jack Avery, CCC, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Minneapolis, MN. Practice services are available at MINNEAPOLIS VAMC under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Minneapolis Vamc
1 Veterans Drive

Minneapolis, MN 55417

Telephone 6124675289
Fax 6124672144

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Minneapolis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.3 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
346 Specialists

Practicing in Minneapolis, MN (3097 Statewide)

Telehealth Adoption Rate
1.4% 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 MN 5938

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

Commercial Insurance / Payer ID Speech Pathology License
5938 (MN)
Commercial Insurance / Payer ID Asha I.d. Number
01103833 (MN)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Amy Bacon , MSW

Social Worker - Clinical

NPI 1144239807

Master of Social Work

Dr. Maureen Kennedy , PsyD

Psychologist - Rehabilitation

NPI 1316022015

Doctor of Psychology (Psy.D.)

Stacy Tepper , LICSW

Social Worker - Clinical

NPI 1386661007

Licensed Independent Clinical Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at MINNEAPOLIS VAMC, 1 VETERANS DRIVE, MINNEAPOLIS, MN 55417 (Tel: 6124675289)

📍
Updated Business Mailing Address July 08, 2007

Registered at MINNEAPOLIS VAMC, 1 VETERANS DRIVE, MINNEAPOLIS, MN 55417 (Tel: 6124675289)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JACK AVERY, CCC/SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #5938 in MN)

🟢
Initial NPI Registration & Enumeration October 03, 2006

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: 1306930086
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

Minneapolis Vamc, 1 Veterans Drive

Minneapolis, MN 55417

Phone: 6124675289

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.