Allison Jansen

Individual provider Active NPI Speech-Language Pathologist · Medina, MN

NPI 1104735646 · NPPES record last updated Sep 2, 2026

Key facts

NPI
1104735646
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
CFDE-307 (MN)
Practice address
2900 Eagle Bluff Cir Ste 110
Medina, MN 55340-5002
Phone
(763) 772-2091
NPI assigned
Sep 2, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X CFDE-307 MN Yes

Addresses

Primary practice location

2900 Eagle Bluff Cir Ste 110
Medina, MN 55340-5002

Mailing address

2900 Eagle Bluff Cir Ste 110
Medina, MN 55340-5002

Other providers in Medina, MN

All providers in Medina, MN · Speech-Language Pathologist in Minnesota

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.