Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760228472 Individual Practitioner Female Practitioner

Peyton Boom Baumgartner , MS, SLP

Speech-Language Pathologist • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Peyton Baumgartner, MS, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Fargo, ND. Practice services are available at 4711 45TH ST S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4711 45th St S

Fargo, ND 581045300

Telephone 7012223175
Fax 7012223186
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
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

Medical Specialties & State Licenses

CMS Verified: 2025-09-18
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License ND 2702

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
1492958 (ND)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Kelli Ellenbaum , MS, CCC-SLP

Speech-Language Pathologist

NPI 1003934878

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

Sierra Burgess , MS

Speech-Language Pathologist

NPI 1013227727

Master of Science

Chelsea Phillipe , MS, CCC-SLP

Speech-Language Pathologist

NPI 1013277664

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

Dr. Laura Kendall , DPT

Physical Therapist

NPI 1013313535

Doctor of Physical Therapy

Katrina Iluk , SLP

Speech-Language Pathologist

NPI 1013835123

Speech-Language Pathologist

Linaya Ming , MS, CCC-SLP

Speech-Language Pathologist

NPI 1023371374

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

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated September 18, 2025

Recorded as PEYTON BAUMGARTNER, MS, SLP

NPI Profile Active July 02, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location July 02, 2024

Registered at 4711 45TH ST S, FARGO, ND 581045300 (Tel: 7012223175)

📍
Updated Business Mailing Address July 02, 2024

Registered at 2625 N 19TH ST, BISMARCK, ND 585030574 (Tel: 7012223175)

👤
Provider Name / Credentials Updated July 02, 2024

Recorded as PEYTON BOOM, MS, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2024

Speech-Language Pathologist (License #2702 in ND)

🟢
Initial NPI Registration & Enumeration July 02, 2024

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: 1760228472
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2024
Last Update: September 18, 2025
Sole Proprietor: No

Mailing Address

2625 N 19th St

Bismarck, ND 585030574

Phone: 7012223175

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.