Individual provider Active NPI

Krystal Nelson

  • Speech-Language Pathologist
  • Saint Francis, MN
National Provider Identifier
1245965979
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
4115 Ambassador Blvd NW
Saint Francis, MN 55070-9368
Phone
(763) 753-7225
NPI assigned
Jul 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 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 Pathologist 235Z00000X MN Primary

Addresses

Primary practice location

4115 Ambassador Blvd NW
Saint Francis, MN 55070-9368

Mailing address

11501 Kumquat St NW
Coon Rapids, MN 55448-2332
Phone (214) 206-6478

Other practice location 1

6160 Summit Dr N Ste 200
Brooklyn Center, MN 55430-2181
Phone (612) 293-9444

Other practice location 2

7241 University Ave NE
Fridley, MN 55432-3134
Phone (763) 450-9400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241204000483 MN Practitioner - Qualified Speech Language Pathologist 4183150915 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Therapy Special Children'S Clinic Speech-Language Pathologist CurrentSince Jul 1, 2022 Accepting new patients
Aspiria Partners LLC CurrentSince Sep 26, 2024 Accepting new patients

Locations

7241 University Ave NE
Minneapolis, MN 55432
Phone (763) 450-9400

8085 Wayzata Blvd
Ste 212
Minneapolis, MN 55426
Phone (612) 790-5767

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.

NPI Registry JSON

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1245965979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11501 KUMQUAT ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554482332",
            "telephone_number": "214-206-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 AMBASSADOR BLVD NW",
            "city": "SAINT FRANCIS",
            "state": "MN",
            "postal_code": "550709368",
            "telephone_number": "763-753-7225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6160 Summit Dr N Ste 200",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Center",
            "state": "MN",
            "postal_code": "554302181",
            "country_code": "US",
            "telephone_number": "612-293-9444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7241 University Ave NE",
            "address_purpose": "LOCATION",
            "city": "Fridley",
            "state": "MN",
            "postal_code": "554323134",
            "country_code": "US",
            "telephone_number": "763-450-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Francis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.