LISA MARIE RICKERT MS, CCC-SLP
NPI 1114413077
Speech-Language Pathologist in Coon Rapids, MN

Active since July 03, 2018
3111 124TH AVE NW STE 123, COON RAPIDS, MN 55433(763) 236-7337 Get Directions Write a Review

NPPES record last updated: July 3, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Marie Rickert Ms, Ccc-slp NPPES

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

LISA MARIE RICKERT MS, CCC-SLP (NPI 1114413077) is an individual speech-language pathologist provider in Coon Rapids, Minnesota, licensed in Minnesota (8381) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1114413077
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameLISA MARIE RICKERTCredential: MS, CCC-SLP
Location Address3111 124TH AVE NW STE 123Coon Rapids, MN 55433-4573
Mailing Address11604 65th Ave NMaple Grove, MN 55369-6100
Sole ProprietorNo
Enumeration DateJuly 3, 2018
NPI 1114413077 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
License Licensed in MN · 8381
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.
3111 124TH AVE NW STE 123, Coon Rapids, MN 55433

Other Providers at the Same Location NPPES 6

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

Speech-Language Pathologist
3111 124TH AVE NW STE 123
COON RAPIDS, MN 55433
Physical Therapist (Pediatrics)
3111 124TH AVE NW STE 123
COON RAPIDS, MN 55433
Speech-Language Pathologist
3111 124TH AVE NW STE 123
COON RAPIDS, MN 55433
Occupational Therapist
3111 124TH AVE NW STE 123
COON RAPIDS, MN 55433
Occupational Therapist
3111 124TH AVE NW STE 123
COON RAPIDS, MN 55433
Physical Therapist
3111 124TH AVE NW STE 123
COON RAPIDS, MN 55433

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 Lisa Rickert's NPI number?

The NPI number for Lisa Rickert is 1114413077. It was assigned to this individual provider in the NPPES registry on July 3, 2018.

Where is Lisa Rickert located?

Lisa Rickert practices at 3111 124th Ave NW Ste 123, Coon Rapids, MN 55433. The listed phone number is (763) 236-7337.

What is Lisa Rickert's specialty?

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

When was this NPI record last updated?

The NPPES record for Lisa Rickert was last updated on July 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.