Tara Kristina Blair
Individual provider Active NPI Speech-Language Pathologist · Wells, MN
NPI 1831035369 · NPPES record last updated Apr 27, 2026
Key facts
- NPI
- 1831035369
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 12074326 (MN)
- Practice address
- PO Box 312
Wells, MN 56097-0312 - Phone
- (507) 553-5810
- NPI assigned
- Apr 27, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12074326 | MN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12074326 | MN | Yes |
Addresses
Primary practice location
PO Box 312
Wells, MN 56097-0312
Mailing address
24242 380TH Ave
Winnebago, MN 56098-3355
Phone (507) 525-2178
Other providers in Wells, MN
- Blue Meadows Family Resource Center, LLC
- Janise Bogenschutz Brindley
- Angela Ann Bushlack
- Chime Mental Health Services LLC.
- Jennifer Crawford
All providers in Wells, 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 Apr 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.