Kenyetta Booker
Speech-Language Pathologist • Rogers, MN
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kenyetta Booker has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Kenyetta Booker was a registered Speech-Language Pathologist practicing in Rogers, MN. Throughout an active medical career spanning 11 years, Kenyetta Booker provided care at the practice location at 13650 MARSH VIEW BLVD APT 102 until profile deactivation on 2025-05-02.
Kenyetta Booker was affiliated with Aegis Group Practice Llc and accepted Medicare assignment.
Practice Location & Contact Primary Location
13650 Marsh View Blvd Apt 102
Rogers, MN 553746034
Medicare Profile & Education
Other
2014
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Speech-Language Pathologist in Rogers, MN
Practicing in Rogers, MN (3097 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Medical Specialties & State Licenses
CMS Verified: 2026-01-19NUCC 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.
Hospital & Practice Group Affiliations
Aegis Group Practice Llc
16500 92nd Ave N, Maple Grove, MN 553115444
Phone: 7632480785
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 13650 MARSH VIEW BLVD APT 102, ROGERS, MN 553746034 (Tel: 3183029192)
Registered at 13650 MARSH VIEW BLVD APT 102, ROGERS, MN 553746034
Speech-Language Pathologist (License #529084 in MN)
Registered at 1666 HIGHWAY 156, WINNFIELD, LA 714835070 (Tel: 3183029192)
Registered at 1666 HIGHWAY 156, WINNFIELD, LA 714835070
Recorded as KENYETTA BOOKER
Speech-Language Pathologist (License #7127 in LA)
Record deactivated on May 02, 2025
NPI status registered as active in NPPES database
Registered at 1666 HIGHWAY 156, WINNFIELD, LA 714835070 (Tel: 3183029192)
Registered at 1666 HIGHWAY 156, WINNFIELD, LA 714835070
Recorded as KENYETTA BOOKER
Speech-Language Pathologist (License #7127 in LA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
13650 Marsh View Blvd Apt 102
Rogers, MN 553746034
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