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Active NPI 1770899577 Individual Practitioner Female Practitioner

Katyana Marie Wiedenman , MS

Speech-Language Pathologist • Fargo, ND

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Katyana Wiedenman, MS is a certified Speech-Language Pathologist practicing in Fargo, ND. With approximately 16 years of clinical experience since completing medical education in 2010, Katyana Wiedenman delivers high-quality medical care to the local community at 1220 MAIN AVE.

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

Practice Location & Contact Primary Location

Practice Address

1220 Main Ave
Suite 120

Fargo, ND 581038201

Telephone 7013645433
Fax 7013642256
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Fargo, ND

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs +7.0 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. Wiedenman (16 Years) 16 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 1119

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

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
Nanette Kennelly , MS CCC-SLP

Speech-Language Pathologist

NPI 1316160914

MSCCCSLP

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)

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 October 20, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 20, 2014

Registered at 1220 MAIN AVE, SUITE 120, FARGO, ND 581038201 (Tel: 7013645433)

📍
Updated Business Mailing Address October 20, 2014

Registered at 1220 MAIN AVE, SUITE 120, FARGO, ND 581038201 (Tel: 7013645433)

👤
Provider Name / Credentials Updated October 20, 2014

Recorded as KATYANA WIEDENMAN, MS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2014

Speech-Language Pathologist (License #1119 in ND)

🟢
Initial NPI Registration & Enumeration August 31, 2010

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: 1770899577
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2010
Last Update: October 20, 2014
Sole Proprietor: No

Mailing Address

1220 Main Ave, Suite 120

Fargo, ND 581038201

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.