Individual provider Active NPI

Nicole Pelletti Vanoeveren, CCC-SLP

  • Speech-Language Pathologist
  • Little Canada, MN
National Provider Identifier
1881036952
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8999 Issued in MN
Practice address
70 County Road B2 W
Little Canada, MN 55117-1402
Phone
(651) 415-5413
NPI assigned
Jul 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 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 8999 MN Primary

Addresses

Primary practice location

70 County Road B2 W
Little Canada, MN 55117-1402

Mailing address

70 County Road B2 W
Little Canada, MN 55117-1402
Phone (651) 415-5413

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

State licenses

LicenseStateTypeSpecialty
8999MNMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1881036952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 COUNTY ROAD B2 W",
            "city": "LITTLE CANADA",
            "state": "MN",
            "postal_code": "551171402",
            "telephone_number": "651-415-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 COUNTY ROAD B2 W",
            "city": "LITTLE CANADA",
            "state": "MN",
            "postal_code": "551171402",
            "telephone_number": "651-415-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANOEVEREN",
        "first_name": "NICOLE",
        "middle_name": "PELLETTI",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "8999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Canada, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.