Individual provider Active NPI

Kamryn Ann Riesinger

  • Speech-Language Assistant
  • Eagan, MN
National Provider Identifier
1225989346
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SLPA-126 Issued in MN
Practice address
2110 Silver Bell Rd
Eagan, MN 55122
Phone
(952) 767-4200
Fax
(952) 767-4211
NPI assigned
Feb 5, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 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 Assistant 2355S0801X SLPA-126 MN Primary

Addresses

Primary practice location

2110 Silver Bell Rd
Eagan, MN 55122

Mailing address

5868 Baker Rd
Minnetonka, MN 55345-5903
Phone (952) 767-4200

Other identifiers 1

IdentifierTypeStateIssuer
SLPA-126OtherMNMN DEPARTMENT OF HEALTH

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1770249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1225989346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5868 BAKER RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553455903",
            "telephone_number": "952-767-4200",
            "fax_number": "952-767-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 SILVER BELL RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "55122",
            "telephone_number": "952-767-4200",
            "fax_number": "952-767-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIESINGER",
        "first_name": "KAMRYN",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "MN",
            "license": "SLPA-126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN DEPARTMENT OF HEALTH",
            "identifier": "SLPA-126",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.