Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407630098 Individual Practitioner Female Practitioner

Kelly Meyer

Speech-Language Pathologist • Woodbury, MN

Professional Overview & Biography Verified Profile Summary

Kelly Meyer is a registered healthcare professional specializing in Speech-Language Pathologist in Woodbury, MN. Practice services are available at 721 COMMERCE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

721 Commerce Dr

Woodbury, MN 551259118

Telephone 6514244046

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Woodbury, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.7 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
80 Specialists

Practicing in Woodbury, 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: 2024-10-30
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MN 528463

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

40 Associated Practitioners
Nene Diallo

Behavior Technician

NPI 1013737931
Justin Mueller

Behavior Technician

NPI 1013853548
Marykatherine Kocourek

Behavior Technician

NPI 1023700747
Sabrina Andersen

Behavior Technician

NPI 1033005038
Victoria Todd

Behavior Technician

NPI 1033803028
Sydney Boyd

Behavior Technician

NPI 1033860408

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated October 30, 2024

Recorded as KELLY MEYER

NPI Profile Active August 28, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location August 28, 2023

Registered at 721 COMMERCE DR, WOODBURY, MN 551259118 (Tel: 6514244046)

📍
Updated Business Mailing Address August 28, 2023

Registered at 657 22ND AVE NE APT 226, MINNEAPOLIS, MN 554185552

👤
Provider Name / Credentials Updated August 28, 2023

Recorded as KELLY WILKERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2023

Speech-Language Pathologist (License #528463 in MN)

🟢
Initial NPI Registration & Enumeration August 23, 2023

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: 1407630098
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2023
Last Update: October 30, 2024
Sole Proprietor: No

Mailing Address

657 22nd Ave Ne Apt 226

Minneapolis, MN 554185552

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.