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ANNA GAVIN
NPI 1083460125
Speech-Language Pathologist in Eden Prairie, MN

Active since April 29, 2024
6409 CITY WEST PKWY STE 206, EDEN PRAIRIE, MN 55344(952) 230-8173 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Anna Gavin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNA GAVIN (NPI 1083460125) is an individual speech-language pathologist provider in Eden Prairie, Minnesota and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1083460125
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameANNA GAVIN
Location Address6409 CITY WEST PKWY STE 206Eden Prairie, MN 55344-7846
Mailing Address6181 176th St WFarmington, MN 55024-8976
Phone(952) 230-8173
Sole ProprietorYes
Enumeration DateApril 29, 2024
NPPES CertifiedApril 29, 2024
✔ NPI 1083460125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
6409 CITY WEST PKWY STE 206, Eden Prairie, MN 55344
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anna Gavin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Anna Gavin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urban Speech & Occupational Therapy
Same address
Speech-Language Pathologist
6409 CITY WEST PKWY STE 206
Eden Prairie, MN 55344
  • Reassigned Medicare billing, Minnesota enrollment
  • 10 clinicians in this Medicare group
NPI 1689305740 (952) 500-8871

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEAH MICHELLE BEERY MS
Speech-Language Pathologist
6409 CITY WEST PKWY STE 206
EDEN PRAIRIE, MN 55344
Hennepin County (952) 500-8871
ALEXA RUSSO
Speech-Language Pathologist
6409 CITY WEST PKWY STE 206
EDEN PRAIRIE, MN 55344
Hennepin County (952) 500-8871
ISABEL R ST DENNIS
Speech-Language Pathologist
6409 CITY WEST PKWY STE 206
EDEN PRAIRIE, MN 55344
Hennepin County (952) 500-8871
KRISTINA THEODOSOPOULOS CF-SLP
Speech-Language Pathologist
6409 CITY WEST PKWY STE 206
EDEN PRAIRIE, MN 55344
Hennepin County (952) 500-8871
LAUREN MARGARET SCHLEGEL OTD, OTR/L
Occupational Therapist
6409 CITY WEST PKWY STE 206
EDEN PRAIRIE, MN 55344
Hennepin County (952) 500-8871
MADISON SWEENEY
Occupational Therapist
6409 CITY WEST PKWY STE 206
EDEN PRAIRIE, MN 55344
Hennepin County (952) 500-8871
MCKENZIE J SCHABLE
Speech-Language Pathologist
6409 CITY WEST PKWY STE 206
EDEN PRAIRIE, MN 55344
Hennepin County (952) 500-8871
MARIS MILLER
Speech-Language Pathologist
6409 CITY WEST PKWY STE 206
EDEN PRAIRIE, MN 55344
Hennepin County (952) 500-8871

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anna Gavin's NPI number?

The NPI number for Anna Gavin is 1083460125. It was assigned to this individual provider in the NPPES registry on April 29, 2024.

Where is Anna Gavin located?

Anna Gavin practices at 6409 City West Pkwy Ste 206, Eden Prairie, MN 55344. The listed phone number is (952) 230-8173.

What is Anna Gavin's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Anna Gavin enrolled in Medicare?

Yes. Anna Gavin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Anna Gavin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anna Gavin reassigns Medicare benefits to Urban Speech & Occupational Therapy (Eden Prairie, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anna Gavin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Anna Gavin was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.