Kelly Jean Ritter Brunsvold, MS,CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Marshall, MN
NPI 1346523644 · NPPES record last updated Oct 15, 2024
Key facts
- NPI
- 1346523644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 8414 (MN)
- Practice address
- 300 S Bruce St
Marshall, MN 56258-1934 - Phone
- (507) 537-9006
- NPI assigned
- Sep 22, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Avera Marshall
Practice addresses (Care Compare)
1521 Carlson St
Marshall, MN 56258-2626
Phone (507) 532-9631
300 S Bruce St
Marshall, MN 56258-1934
Phone (507) 537-9165
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240920001491 | MN | Practitioner - Qualified Speech Language Pathologist | 9234417114 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera Marshall | Current |
Accepting new patients | |
| Avera Marshall | Current |
Accepting new patients | |
| Avera Marshall | Current | Accepting new patients | |
| Avera Marshall | Past | Accepting new patients |
Locations
1521 Carlson St
Ste 200
Marshall, MN 56258
Phone (507) 532-1901
1521 Carlson St
#200
Marshall, MN 56258
Phone (507) 532-1901
300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 8414 | MN | Yes |
Addresses
Primary practice location
300 S Bruce St
Marshall, MN 56258-1934
Mailing address
803 Viking Dr
Marshall, MN 56258-3400
Phone (507) 828-3703
Other providers in Marshall, MN
- Jennifer Briest
- Marissa Brown
- Bruns Chiropractic, Inc
- Dean Ervin Bruns
- Troy Charles Bruns
- Heather Bruse
- BST Marshall LLC
- Nathan James Burns
- Kelsey Buysse
- Trent Patrick Carlson
All providers in Marshall, MN · Speech-Language Pathologist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.