SPEECH PLACE LLC (NPI# 1518139120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518139120 |
| Entity Type | Organization |
| Organization Name | SPEECH PLACE LLC |
| Other Organization Name | SPEECH PLACE |
| Practice Address |
677 Anne St Nw Suite E Bemidji MN 56601-4390 |
| Mailing Address |
29 E Main St Waconia MN 55387-1114 |
| Practice Telephone | 2183331571 |
| Practice Fax Number | 2183330948 |
| Mailing Telephone | 9524427015 |
| Mailing Fax Number | 9524427016 |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2011-05-24 |
| Authorized Official Name | NANCY J PETERSON (OWNER) |
| Authorized Official Telephone | 2183331571 |
| Authorized Official Credential | SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 7693 | MN | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 589185100 | 05 |
| Other Name | Type Code |
|---|---|
| Speech Place | Former Legal Business Name - Organization |
| Street Address |
677 ANNE ST NW SUITE E |
| City | BEMIDJI |
| State | MN |
| Zip Code | 56601-4390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316012263 | Rem North Star, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 677 Anne St Nw, Suite B, Bemidji, MN 56601-4390 | 2006-11-22 |
| 1376840694 | Holly A Graber | Physical Therapy Assistant | 677 Anne St Nw, Suite E, Bemidji, MN 56601-4390 | 2011-02-23 |
| 1487967402 | Deanne Marie Kivi | Occupational Therapist | 677 Anne St Nw, Bemidji, MN 56601-4390 | 2010-07-19 |
| 1063640647 | Andrea Lynn Brodina | Physical Therapist | 677 Anne St Nw, Bemidji, MN 56601-4390 | 2009-06-23 |
| 1932335288 | Donald Joseph Kapaun Jr. | Occupational Therapist | 677 Anne St Nw, Bemidji, MN 56601-4390 | 2009-06-01 |
| 1942443635 | Advantage Audiology & Hearing Healthcare, LLC | Audiologist-Hearing Aid Fitter | 677 Anne St Nw, Bemidji, MN 56601-4390 | 2009-04-12 |
| 1083874143 | Hazelton Family Dentistry, Pa | Clinic/Center | 677 Anne St Nw, Ste F, Bemidji, MN 56601-4390 | 2008-06-12 |
| 1184884231 | Zachary David Hazelton | Dentist | 677 Anne St Nw, Ste F, Bemidji, MN 56601-4390 | 2008-06-12 |
| 1366635716 | Cheri Lynne Ware | Physical Therapist | 677 Anne St Nw, Bemidji, MN 56601-4390 | 2007-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
| 1366093841 | Vickie Lynn Matthews | Technician | 1018 Miles Ave Se, Bemidji, MN 56601 | 2019-09-25 |
| 1518443530 | Lindsey Marie Whiting | Registered Nurse | 1300 Anne St, Bemidji, MN 56601 | 2018-07-12 |
| 1801257662 | Meghan Zigrida Paquette | Registered Nurse | 6055 161st Street Nw, Cass Lake, MN 56601 | 2016-03-08 |
| 1144686106 | Northwest Indian Oic | Home Health | 1819 Bemidji Ave N Ste 1, Bemidji, MN 56601 | 2016-01-06 |
| 1831560424 | Laura Hansen, Msw, Licsw Counseling Services, Inc. | Social Worker | 403 4th Street Ne, Suite 110, Bemidji, MN 56601 | 2015-10-08 |
| 1679949028 | Grand St. Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 2312 Bemidji Ave North, Bemidji, MN 56601 | 2015-08-19 |
| 1255717617 | Mary S. Salter, Md Psc | Internal Medicine | 514 Beltrami Ave Nw Suite 102, Bemidji, MN 56601 | 2015-08-07 |
| 1225420615 | Cristin Evans | Counselor | 403 4th Street, Suite 300, Bemidji, MN 56601 | 2015-02-23 |
| 1619367919 | Angela Krom Fournier | Psychologist | 16150 Golden Eagle Court Nw, Eagle Vista Equine Center Inc., Bemidji, MN 56601 | 2015-01-26 |
| Find all providers in zip 56601 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366945644 | Sheri Jahner | Speech-Language Pathologist | 700 Northern Ln Nw, Bemidji, MN 56601-8138 | 2018-03-13 |
| 1215112933 | Nancy Jo Peterson | Speech-Language Pathologist | 4635 Waville Rd Ne, Bemidji, MN 56601-8983 | 2007-12-31 |
| 1861003956 | Mckayla R Beaulieu | Speech-Language Pathologist | 3835 Supreme Ct Nw Ste 2, Bemidji, MN 56601-4485 | 2020-08-12 |
| 1285268631 | Sydney Lichty | Speech-Language Pathologist | 3835 Supreme Ct Nw Ste 2, Bemidji, MN 56601-4485 | 2020-02-25 |
| 1114378742 | Kirsten Landmark | Speech-Language Pathologist | 3835 Supreme Ct Nw, Suite 2, Bemidji, MN 56601-4446 | 2016-06-24 |
| 1700215035 | Erin Millicent Wark May | Speech-Language Pathologist | 3835 Supreme Ct Nw, Suite 2, Bemidji, MN 56601-4446 | 2013-11-07 |
| 1235561416 | Kalee Marie Jabs | Speech-Language Pathologist | 3835 Supreme Ct Nw Ste 2, Bemidji, MN 56601-4485 | 2013-07-30 |
| 1194073007 | Kaylee J Kriege | Speech-Language Pathologist | 3835 Supreme Ct Nw Ste 2, Bemidji, MN 56601-4485 | 2012-08-27 |
| 1396033635 | Bemidji Speech-language Services Inc | Speech-Language Pathologist | 522 Beltrami Ave Nw, Suite 107, Bemidji, MN 56601-3001 | 2011-07-20 |
| 1932244944 | Teresa Marie Kinnunen | Speech-Language Pathologist | 3835 Supreme Ct Nw Ste 2, Bemidji, MN 56601-4485 | 2007-02-20 |
| Find all providers in BEMIDJI | ||||
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| 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.