NPIMap

Kristen Pearson Ash

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

NPI 1194950006 · NPPES record last updated May 20, 2009

Key facts

NPI
1194950006
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
0191633 (MN)
Practice address
820 Roy St
Ortonville, MN 56278-1138
Phone
(320) 839-4271
NPI assigned
May 20, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
0191633MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Big Stone Therapies, Inc Speech-Language Pathologist Past Accepting new patients
BST Morris LLC Speech-Language Pathologist Past
since Mar 10, 2014		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 0191633 MN Yes

Addresses

Primary practice location

820 Roy St
Ortonville, MN 56278-1138

Mailing address

101 Vista Dr
Milbank, SD 57252-3207

Other providers in Ortonville, MN

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

Sources for this page

Verify at the official NPI Registry.