KELLY MARIE WILTON (NPI# 1023668522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023668522 |
| Entity Type | Individual |
| Full Name | KELLY MARIE WILTON |
| Credential | CF-SLP |
| Practice Address |
9120 Springbrook Dr Nw Coon Rapids MN 55433-5845 |
| Practice Telephone | 6127677222 |
| Mailing Telephone | 6127677222 |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 10373 | MN | Speech, Language and Hearing Service Providers |
| Street Address |
9120 SPRINGBROOK DR NW |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433-5845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720117997 | Brenda Janice Crespo | Psychologist | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2007-03-05 |
| 1730789629 | Ellen Grace Barnhart | Occupational Therapist | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2020-10-29 |
| 1821698150 | Stephanus Badenhorst | Behavior Technician | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2020-10-27 |
| 1396350948 | Elizabeth Ashley Mann | Social Worker | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2020-09-10 |
| 1366056129 | Tracy Swati | Behavior Technician | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2020-08-31 |
| 1285247973 | Cheyenne Rose Phillips | Behavior Technician | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2020-08-24 |
| 1104435692 | Jessica Groth | Behavior Technician | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2020-07-30 |
| 1487272704 | Tristin Dooley | Behavior Technician | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2020-07-13 |
| 1467070789 | Sarah Novack | Behavior Technician | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2020-07-13 |
| 1194343426 | Nina Mary Melin | Behavior Technician | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2020-07-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| 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 |
|---|---|---|---|---|
| 1295900157 | Dianne Lefty | Speech-Language Pathologist | 9574 Foley Blvd Nw, Coon Rapids, MN 55433-5537 | 2008-04-22 |
| 1497962161 | Dianne G Lefty | Speech-Language Pathologist | 9574 Foley Blvd, Coon Rapids, MN 55433 | 2007-05-16 |
| 1689775165 | Christina Lee-kriz Deleeuw | Speech-Language Pathologist | 300 Coon Rapids Blvd Nw, Suite #200, Coon Rapids, MN 55433-5643 | 2006-09-26 |
| 1922616101 | Kelly Anne Schenk | Speech-Language Pathologist | 11800 Xeon Blvd Nw, Coon Rapids, MN 55448-2061 | 2020-07-14 |
| 1821617739 | Krista Michelle Holter | Speech-Language Pathologist | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2020-04-10 |
| 1063031078 | Valerie Marquardt | Speech-Language Pathologist | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2020-04-09 |
| 1518596188 | Deborah Baumgarten | Speech-Language Pathologist | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2020-04-06 |
| 1003459868 | Sahaam Ahmed Abdi | Speech-Language Pathologist | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2019-10-24 |
| 1154980969 | Kelli Timinski | Speech-Language Pathologist | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2019-06-06 |
| 1083186084 | Megan Dallas | Speech-Language Pathologist | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2019-01-02 |
| Find all providers in COON RAPIDS | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
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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.