Individual provider Active NPI

Renee Nash, MA, CCC-SLP

  • Speech-Language Pathologist
  • Princeton, MN
National Provider Identifier
1033057492
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
31940 125TH St NW Unit 1
Princeton, MN 55371-3392
Phone
(701) 730-7051
Fax
(866) 635-1358
NPI assigned
Mar 24, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

31940 125TH St NW Unit 1
Princeton, MN 55371-3392

Mailing address

31940 125TH St NW Unit 1
Princeton, MN 55371-3392
Phone (701) 730-7051

Other identifiers 1

IdentifierTypeStateIssuer
14381611OtherASHA

Other names 1

  • Renee Lejonvarn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260421000722 MN Practitioner - Qualified Speech Language Pathologist 7810463486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

31940 125TH St NW
Unit 1
Princeton, MN 55371-3392

31940 125TH St NW Unit
Suite 1
Princeton, MN 55371-3392

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Therapy Solutions, LLC Single Specialty CurrentSince Apr 13, 2026 Accepting new patients

Locations

31940 125th St NW
Unit 1
Princeton, MN 55371
Phone (701) 730-7051

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1033057492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31940 125TH ST NW UNIT 1",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553713392",
            "telephone_number": "701-730-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31940 125TH ST NW UNIT 1",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553713392",
            "telephone_number": "701-730-7051",
            "fax_number": "866-635-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASH",
        "first_name": "RENEE",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "14381611",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "LEJONVARN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Princeton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.