Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083745244 Individual Practitioner Female Practitioner

Amy Beth Pederson , MA, CCC-SLP

Speech-Language Pathologist • Rockford, MN

Professional Overview & Biography Verified Profile Summary

Amy Pederson, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Rockford, MN. Practice services are available at 7006 GREENWOOD CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7006 Greenwood Ct

Rockford, MN 553734581

Telephone 6129618310

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Rockford, MN

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

Practicing in Rockford, 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MN 7434

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License MN FILE FOLDER # 389213

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 Medica Provider Number
4601172
Commercial Insurance / Payer ID Bcbs Participat. Provid.#
146T2PE (MN)
Commercial Insurance / Payer ID Minnesota Tax Id #
5727164 (MN)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 01, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2009

Registered at 7006 GREENWOOD CT, ROCKFORD, MN 553734581 (Tel: 6129618310)

📍
Updated Business Mailing Address April 01, 2009

Registered at PO BOX 266, ROCKFORD, MN 553730266 (Tel: 6129618310)

👤
Provider Name / Credentials Updated April 01, 2009

Recorded as AMY PEDERSON, M.A., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2009

Speech-Language Pathologist (License #7434 in MN)

🟢
Initial NPI Registration & Enumeration March 08, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1083745244
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2007
Last Update: April 01, 2009
Sole Proprietor: Yes

Mailing Address

Po Box 266

Rockford, MN 553730266

Phone: 6129618310

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.