Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316160914 Individual Practitioner Female Practitioner

Nanette S Kennelly , MS CCC-SLP

Speech-Language Pathologist • Fargo, ND

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nanette Kennelly, MS CCC-SLP is a certified Speech-Language Pathologist practicing in Fargo, ND. With approximately 32 years of clinical experience since completing medical education in 1994, Nanette Kennelly delivers high-quality medical care to the local community at 1220 MAIN AVE.

Nanette Kennelly is affiliated with Kennelly Speech-Language Pathology, Ltd. and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1220 Main Ave
Suite 100

Fargo, ND 581038201

Telephone 7013645433
Fax 7013642256
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Fargo, ND

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
32 Yrs +23.0 yrs vs City Avg
City Avg: 9.0 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
259 Specialists

Practicing in Fargo, ND (1024 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

Clinical Seniority & Experience Comparison

Dr. Kennelly (32 Years) 32 Yrs
Fargo Specialty Average (9.0 Years) 9.0 Yrs

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License ND 664

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

Medicaid State Provider ID
50906 (ND)
Commercial Insurance / Payer ID Nd Bcbs
26042 (ND)

Hospital & Practice Group Affiliations

Kennelly Speech-Language Pathology, Ltd.

4450 31st Ave S, Fargo, ND 581044557

Phone: 7013645433

Practice Associates & Co-Workers

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

6 Associated Practitioners
Abigail College , MS

Speech-Language Pathologist

NPI 1336034123

Master of Science

Emily Kapaun , MS, CCC-SLP

Speech-Language Pathologist

NPI 1639741143

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

Katyana Wiedenman , MS

Speech-Language Pathologist

NPI 1770899577

Master of Science

Dr. Rodney Swenson , PhD

Clinical Neuropsychologist

NPI 1841413507

Doctor of Philosophy (Ph.D.)

Whitney Moore

Speech-Language Pathologist

NPI 1902286990
Carrie Rice

Speech-Language Pathologist

NPI 1982088456

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 1220 MAIN AVE, SUITE 100, FARGO, ND 581038201 (Tel: 7013645433)

📍
Updated Business Mailing Address July 09, 2007

Registered at PO BOX 746, FARGO, ND 581070746 (Tel: 7013645433)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as NANETTE KENNELLY, MS CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Speech-Language Pathologist (License #664 in ND)

🟢
Initial NPI Registration & Enumeration April 11, 2007

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: 1316160914
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2007
Last Update: July 09, 2007
Sole Proprietor: No

Mailing Address

Po Box 746

Fargo, ND 581070746

Phone: 7013645433

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.