Jeanne L Gunvalson, M.S., CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7773 Issued in MN

Practice address

3490 Lexington Ave N
Suite 305
Shoreview, MN 55126-8074

Phone

(651) 639-0942

Fax

(651) 639-1718

NPI assigned

Apr 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Family Achievement Center Inc.

  • Occupational Therapist
  • Woodbury, MN
  • NPI 1952411175

  Speech-Language Pathologist

  Medicare reassignment NPD
• Associated Speech and Language

  • Hearing and Speech Clinic/Center
  • Arden Hills, MN
  • NPI 1003188749
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1225256316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 SEQUOIA RD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253400",
            "telephone_number": "763-350-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3490 LEXINGTON AVE N",
            "address_2": "SUITE 305",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268074",
            "telephone_number": "651-639-0942",
            "fax_number": "651-639-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNVALSON",
        "first_name": "JEANNE",
        "middle_name": "L",
        "credential": "M.S.,  CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "7773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale Ellen Grossman, PH.D.
• Kristeen Laura Groth, OTR
• Madison Gruenewald, MA, LADC
• Jeanette Lorraine Guillaume Marshall, PH.D
• Heather Gunderson, LICSW
• Said Hassan Gure
• Anu Gurung
• Rachael Gusaas
• Lucy Ann Gustafson, DC
• Kaelyn May Haag

• Speech-Language Pathologist in Shoreview, MN
• Providers in Shoreview, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.