Active NPI
Breann Wedin, MS, SLP
- Speech-Language Pathologist
- Monticello, MN
National Provider Identifier
1639516370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8970
- Practice address
- 1107 Hart Blvd Ste 10
Monticello, MN 55362-8539 - Phone
- (763) 295-6878
- NPI assigned
- Jun 3, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 8970 | MN | Primary |
Addresses
Primary practice location
1107 Hart Blvd Ste 10
Monticello, MN 55362-8539
Mailing address
633 Main St NW
Apt 206
Elk River, MN 55330-1743
Phone (320) 224-4248
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8970 | MN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370217600000",
"number": "1639516370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 MAIN ST NW",
"address_2": "APT 206",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553301743",
"telephone_number": "320-224-4248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 HART BLVD STE 10",
"city": "MONTICELLO",
"state": "MN",
"postal_code": "553628539",
"telephone_number": "763-295-6878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEDIN",
"first_name": "BREANN",
"name_prefix": "Mrs.",
"credential": "MS, SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-03",
"last_updated": "2013-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "8970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monticello, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.