Kelsey Anne-Jahr Smith, M.S., CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9517 Issued in MN

Practice address

3800 Silver Bell Rd
Eagan, MN 55122-1653

Phone

(952) 767-4204

NPI assigned

Jul 21, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1992180913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 BAKER RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553455901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 SILVER BELL RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221653",
            "telephone_number": "952-767-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELSEY",
        "middle_name": "ANNE-JAHR",
        "name_prefix": "Mrs.",
        "credential": "M.S., CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constance Sally Smith, LADC, LPCC
• Courtney J Smith, PAC
• Gabrielle Elizabeth Smith
• Jenna J Smith
• Kayode Kwesi Smith, KAYODE KWESI SMITH
• Megan E Smith, RN
• Renie L Smith, OGNP
• Tara Smith, D.C.
• Greta Smylie, MA
• Donna Jean Snetting, MSW LICSW

• Speech-Language Pathologist in Eagan, MN
• Providers in Eagan, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.