KELSEY JEAN VAN VICKLE


Address: 1935 County Road B2 W Ste 100, Roseville, MN 55113-2722
Phone: 6516364155

KELSEY JEAN VAN VICKLE (NPI# 1316313091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316313091
Entity Type Individual
Full Name KELSEY JEAN VAN VICKLE
Practice Address 1935 County Road B2 W Ste 100
Roseville
MN 55113-2722
Mailing Address 1947 Stinson Blvd
Minneapolis
MN 55418-4820
Practice Telephone 6516364155
Practice Fax Number 6516363595
Mailing Telephone 6122294087
Enumeration Date 2015-08-17
Last Update Date 2015-08-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 9542 MN Speech, Language and Hearing Service Providers

Office Location

Street Address 1935 COUNTY ROAD B2 W STE 100
City ROSEVILLE
State MN
Zip Code 55113-2722

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972162154 Emily Kollodge Occupational Therapist 1935 County Road B2 W Ste 100, Roseville, MN 55113-2722 2019-06-11
1407333461 Ruth Carol Anderson-benge Speech-Language Pathologist 1935 County Road B2 W Ste 100, Roseville, MN 55113-2722 2018-07-23
1316457989 Jessika Mae Viola Lackie Occupational Therapist 1935 County Road B2 W Ste 100, Roseville, MN 55113-2722 2017-10-09
1841728581 Kathleen Wagner Speech-Language Pathologist 1935 County Road B2 W Ste 100, Roseville, MN 55113-2722 2017-05-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396384376 Zachary Mattson Physician Assistant Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 2019-12-23
1467010330 Ahmed Issa Student in an Organized Health Care Education/Training Program 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 2019-06-05
1821653833 Suite Living Senior Care of Little Canada Assisted Living Facility 2740 Rice Street, Little Canada, MN 55113 2019-05-06
1902370505 Diverse Assessments and Treatment, LLC Psychologist 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 2019-01-16
1588138473 Applewood Home Health Care, LLC Home Health 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 2019-01-14
1699251520 Optum Infusion Services 500, Inc. Durable Medical Equipment & Medical Supplies 2685 Patton Rd, Roseville, MN 55113 2018-07-13
1083104145 Suite Living Senior Care of Roseville Assisted Living Facility 197 County Road B2 W, Roseville, MN 55113 2018-05-15
1477055796 Sunrise Residential Services LLC Home Health 216 Maple Ln, Roseville, MN 55113 2018-03-02
1194223024 Alissa Hoff Specialist 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 2018-01-25
1841705118 Kingsland Care Services Incorporated Case Management 2301 Rice Street, Suite 101, Roseville, MN 55113 2017-12-08
Find all providers in zip 55113

Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518424720 Jacquelyn R Rampenelli Speech-Language Pathologist 1056 Impressionist Loop, Roseville, CA 95747-5170 2019-02-24
1700370772 Rebecca Larussa Speech-Language Pathologist 532 Gibson Dr Ste 100, Roseville, CA 95678-5878 2018-06-21
1386146231 Mallori Schneider Speech-Language Pathologist 2941 Northview St, Roseville, MN 55113-2438 2018-03-07
1457876211 Charlotte Elizabeth Pegoda Speech-Language Pathologist 5051 Dragonfly Ln, Roseville, CA 95747-8616 2017-08-13
1649729229 Isabelle Stoffel Speech-Language Pathologist 570 Sandhurst Dr W, Apartment 317, Roseville, MN 55113-4699 2016-09-24
1053764969 Mary Coutts Speech-Language Pathologist 1560 Snapdragon Ln, Roseville, CA 95747-7518 2016-07-15
1427427772 Patricia Graves Speech-Language Pathologist 1872 Eagle Glen Dr, Roseville, CA 95661-4025 2015-09-16
1740668086 Mini Nandakumar Speech-Language Pathologist 1320 Impressionist Loop, Roseville, CA 95747-5171 2015-05-06
1780082412 Jeanne Ann Smith Speech-Language Pathologist 6550 Rose Hill Rd, Roseville, OH 43777-9741 2014-12-11
1710389077 Brittni Zimmerman Speech-Language Pathologist 271 68th St, Roseville, IL 61473-9395 2014-09-18
Find all providers in ROSEVILLE

Competitor

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City ROSEVILLE
Zip Code 55113

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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