1. Home
  2. Directory
  3. Minnesota
  4. Coon Rapids
  5. Speech Language Pathologist
  6. NPI Profile

KELLY TANNER
NPI 1104342187
Speech-Language Pathologist in Coon Rapids, MN

Active since August 21, 2017
9120 SPRINGBROOK DR NW, COON RAPIDS, MN 55433(952) 767-5900 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2022, Apr 8, 2022, Oct 12, 2020 and 1 more (4 updates tracked since 2017).

About Kelly Tanner NPPES

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

KELLY TANNER (NPI 1104342187) is an individual speech-language pathologist provider in Coon Rapids, Minnesota and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1104342187
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLY TANNER
Location Address9120 SPRINGBROOK DR NWCoon Rapids, MN 55433-5845
Mailing Address9120 Springbrook Dr NwCoon Rapids, MN 55433-5845 · (952) 767-5900
Phone(952) 767-5900
Sole ProprietorNo
Enumeration DateAugust 21, 2017
Last NPPES UpdateApril 14, 20224 updates tracked since enumeration
NPPES CertifiedApril 14, 2022
✔ NPI 1104342187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
9120 SPRINGBROOK DR NW, Coon Rapids, MN 55433
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES 20

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

DESIREE BEASLEY
Behavior Technician
9120 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (952) 767-7222
SARAH JOY LYNCH MS, BCBA
Behavior Analyst
9120 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (612) 767-7222
SAHAAM AHMED ABDI
Speech-Language Pathologist
9120 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (612) 400-6171
ALYSSA KATHRYN CASSIERE
Behavior Technician
9120 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (612) 331-9413
FATUMA A MOHAMED
Behavior Technician
9120 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (763) 231-2590
ASANTI CHINKSSO
Behavior Technician
9120 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (763) 231-2590
CAMPBELLE BAUER
Behavior Technician
9120 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (612) 817-1887
MEGHAN P RAJKOWSKI LPCC
Counselor (Mental Health)
9120 SPRINGBROOK DR NW
MINNEAPOLIS, MN 55433
Anoka County (763) 281-2590

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 Kelly Tanner's NPI number?

The NPI number for Kelly Tanner is 1104342187. It was assigned to this individual provider in the NPPES registry on August 21, 2017.

Where is Kelly Tanner located?

Kelly Tanner practices at 9120 Springbrook Dr NW, Coon Rapids, MN 55433. The listed phone number is (952) 767-5900.

What is Kelly Tanner's specialty?

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

What insurance does Kelly Tanner accept?

Health plans from Medica list Kelly Tanner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Tanner was last updated on April 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.