Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912514258 Individual Practitioner Female Practitioner

Annalyn Smith , MA, CCC-SLP

Speech-Language Pathologist • Plymouth, MN

Professional Overview & Biography Verified Profile Summary

Annalyn Smith, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Plymouth, MN. Practice services are available at 15600 36TH AVE N STE 120 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15600 36th Ave N Ste 120

Plymouth, MN 554463687

Telephone 7635950812
Fax 7635950824
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Plymouth, MN

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

Practicing in Plymouth, 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: 2025-04-15
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MN 10287

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

17 Associated Practitioners
Megan Stumpf

Speech-Language Pathologist

NPI 1083227573
Lindsay Barrett , MA, CCC-SLP

Speech-Language Pathologist

NPI 1174793863

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Marissa Bodiker , MS, CCC-SLP

Speech-Language Pathologist

NPI 1194037051

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Elizabeth Mcglynn

Speech-Language Pathologist

NPI 1225873177
Dr. Sarah Moen , PT, DPT

Physical Therapist - Pediatrics

NPI 1326535196

Physical Therapist, Doctor of Physical Therapy

Elizabeth Asturias , MS OTR, L

Occupational Therapist - Pediatrics

NPI 1356098610

MSOTR, L

Career & Practice History Timeline

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

11 Historical Events
👤
Provider Name / Credentials Updated April 15, 2025

Recorded as ANNALYN SMITH, M.A, CCC-SLP

📍
Updated Practice Location February 08, 2023

Registered at 15600 36TH AVE N STE 120, PLYMOUTH, MN 554463687 (Tel: 7635950812)

📍
Updated Business Mailing Address February 08, 2023

Registered at 15600 36TH AVE N STE 120, PLYMOUTH, MN 554463687 (Tel: 7635950812)

📍
Updated Practice Location July 19, 2021

Registered at 7624 EXECUTIVE DR, EDEN PRAIRIE, MN 553443677 (Tel: 9529440240)

📍
Updated Business Mailing Address July 19, 2021

Registered at 7624 EXECUTIVE DR, EDEN PRAIRIE, MN 553443677 (Tel: 9529440240)

NPI Profile Active September 30, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 30, 2020

Registered at 7570 MARKET PLACE DR, EDEN PRAIRIE, MN 553443636 (Tel: 9529440240)

📍
Updated Business Mailing Address September 30, 2020

Registered at 7570 MARKET PLACE DR, EDEN PRAIRIE, MN 553443636 (Tel: 9529440240)

👤
Provider Name / Credentials Updated September 30, 2020

Recorded as ANNALYN ALT, M.A, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2020

Speech-Language Pathologist (License #10287 in MN)

🟢
Initial NPI Registration & Enumeration September 30, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1912514258
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 30, 2020
Last Update: April 15, 2025
Sole Proprietor: No

Mailing Address

15600 36th Ave N Ste 120

Plymouth, MN 554463687

Phone: 7635950812

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.