Individual provider Active NPI

Stefania Werner, M.ED. CCC-SLP

  • Speech-Language Pathologist
  • Plymouth, MN
National Provider Identifier
1215301627
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9537 Issued in MN
Practice address
3021 Harbor LN N Ste 120
Plymouth, MN 55447-5141
Phone
(763) 551-3652
NPI assigned
Nov 23, 2015
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 9537 MN Primary

Addresses

Primary practice location

3021 Harbor LN N Ste 120
Plymouth, MN 55447-5141

Mailing address

3021 Harbor LN N Ste 120
Plymouth, MN 55447-5141
Phone (763) 551-3652

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161104000881 MN Practitioner - Qualified Speech Language Pathologist 2365720760 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9537MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Children's Theraplay, LLC CurrentSince Jan 7, 2024 Accepting new patients
Fairview Health Services CurrentSince May 19, 2020 Accepting new patients
Fairview Health Services CurrentSince May 19, 2020 Accepting new patients
Associated Speech and Language Specialists LLC Speech-Language Pathologist CurrentSince Feb 15, 2021 Accepting new patients
Associated Speech and Language Past Accepting new patients
Fairview Express Care Past Accepting new patients

Locations

3305 Central Park Village Dr
Ste 130
Eagan, MN 55121
Phone (651) 406-8701

3400 W 66th St
Ste 300
Edina, MN 55435
Phone (952) 345-3000

290 Main St NW
Elk River, MN 55330
Phone (763) 241-5800

8301 Golden Valley Rd
Ste 202
Golden Valley, MN 55427
Phone (763) 257-1133

2945 Hazelwood St
Ste 320
Maplewood, MN 55109
Phone (612) 273-1172

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

3400 W 66th St
Ste 290
Minneapolis, MN 55435
Phone (952) 836-3637

9220 Bass Lake Rd
Ste 260
New Hope, MN 55428
Phone (763) 533-0363

3021 Harbor Ln N
Ste 120
Plymouth, MN 55447
Phone (651) 773-0354

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

2270 Ford Pkwy
Ste 200
Saint Paul, MN 55116
Phone (651) 696-5000

2395 Ariel St N
#B
Saint Paul, MN 55109
Phone (651) 773-3208

3305 Central Park Village Dr
#130
Saint Paul, MN 55121

3305 Central Park Village Dr
#200
Saint Paul, MN 55121

561 7th St W
Saint Paul, MN 55102
Phone (651) 225-4558

6 Pine Tree Dr
Ste 330
Saint Paul, MN 55112
Phone (651) 639-0942

9680 Tamarack Rd
Ste 130
Woodbury, MN 55125
Phone (612) 273-1172

Organizations & group practices 8

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": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1215301627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 HARBOR LN N STE 120",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475141",
            "telephone_number": "763-551-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 HARBOR LN N STE 120",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475141",
            "telephone_number": "763-551-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNER",
        "first_name": "STEFANIA",
        "credential": "M.ED. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-23",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.