Individual provider Active NPI

Breanna Adelman, SLP

  • Speech-Language Pathologist
  • Alexandria, MN
National Provider Identifier
1982271235
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
518148 Issued in MN
Practice address
1920 Turning Leaf LN SW Ste 3
Alexandria, MN 56308-4681
Phone
(320) 200-2577
NPI assigned
Jun 7, 2021
Last updated
May 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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 518148 MN Primary

Addresses

Primary practice location

1920 Turning Leaf LN SW Ste 3
Alexandria, MN 56308-4681

Mailing address

1920 Turning Leaf LN SW Ste 3
Alexandria, MN 56308-4681
Phone (320) 200-2577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220625000492 MN Practitioner - Qualified Speech Language Pathologist 6002211968 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1955NDMDOccupational Therapist
518148MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Firefly Speech & Language Therapy LLC Speech-Language Pathologist CurrentSince Jun 24, 2024 Accepting new patients
Sunnydays Therapy Inc Speech-Language Pathologist CurrentSince Jun 13, 2022 Accepting new patients
Pediatric Therapy Partners, Inc. PastSince Jun 1, 2021 Accepting new patients

Locations

5232 Kyler Ave NE
Ste A
Albertville, MN 55301

1920 Turning Leaf Ln SW
Ste 3
Alexandria, MN 56308
Phone (320) 200-2577

9346 Oak Ave
Waconia, MN 55387

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1982271235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 TURNING LEAF LN SW STE 3",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563084681",
            "telephone_number": "320-200-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 TURNING LEAF LN SW STE 3",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563084681",
            "telephone_number": "320-200-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELMAN",
        "first_name": "BREANNA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "518148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.