Bailey Andri, SLP

Individual provider Active NPI Speech-Language Pathologist · Mandan, ND

NPI 1679245658 · NPPES record last updated May 11, 2026

Key facts

NPI
1679245658
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
3028 (ND)
Practice address
1810 E Main St
Mandan, ND 58554-3821
Phone
(701) 415-0000
Fax
(833) 969-0195
NPI assigned
Sep 29, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220507000220 MN Practitioner - Qualified Speech Language Pathologist 4981081247 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
3028NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Speech Therapy, LLC Speech-Language Pathologist Current
since Apr 1, 2022
Accepting new patients
Advance Occupational Therapy, LLC Current
since Apr 1, 2022
Accepting new patients
Holland Center Past
since Oct 1, 2021
Accepting new patients
Kids in Motion Inc Past
since Feb 16, 2019
Accepting new patients

Locations

6776 Lake Dr
Ste 220
Lino Lakes, MN 55014
Phone (651) 784-7007

2555 County Road E E
#102
White Bear Lake, MN 55110
Phone (651) 683-2953

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3028 ND Yes
Speech-Language Pathologist 235Z00000X MN
Speech-Language Pathologist 235Z00000X 10501 MN

Addresses

Primary practice location

1810 E Main St
Mandan, ND 58554-3821

Mailing address

1810 E Main St
Mandan, ND 58554-3821
Phone (701) 415-0000

Other providers in Mandan, ND

All providers in Mandan, ND · Speech-Language Pathologist in North Dakota

Sources for this page

Verify at the official NPI Registry.