MS. KELLY ANN RIORDAN-JAESCHKE M.S. CCC-SLP
NPI 1164648028
Speech-Language Pathologist in Little Canada, MN

Q: What is Kelly Riordan-jaeschke's NPI number?

The NPI number for Kelly Riordan-jaeschke is 1164648028. It was assigned to this individual provider in the NPPES registry on April 18, 2007. The provider is also known as Ms. Kelly Ann Riordan M.S. Ccc-Slp.

Q: What is Kelly Riordan-jaeschke's specialty?

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

Active since April 18, 2007Accepts Medicare Assignment

80 MINNESOTA AVE, LITTLE CANADA, MN 55117(651) 481-8040(651) 481-8649 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Ms. Kelly Ann Riordan-jaeschke M.s. Ccc-slp NPPES

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

MS. KELLY ANN RIORDAN-JAESCHKE M.S. CCC-SLP (NPI 1164648028) is an individual speech-language pathologist provider in Little Canada, Minnesota, licensed in Minnesota (7026) and active in the NPI registry since April 2007. She is a graduate of Other (1995).

NPPES Registry Identity

NPI1164648028

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMS. KELLY ANN RIORDAN-JAESCHKECredential: M.S. CCC-SLP

Location Address80 MINNESOTA AVELittle Canada, MN 55117-1781

Mailing Address698 Roy St SSaint Paul, MN 55116-1424 · (651) 699-5181

Phone(651) 481-8040

Fax(651) 481-8649

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateApril 18, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1164648028 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 · 7026

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.

80 MINNESOTA AVE, Little Canada, MN 55117

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Other Names 1

Former Name (1)Ms. Kelly Ann Riordan M.s. Ccc-slp

Other Identifiers 2

Other01126361MN · Asha Member Number

Other7026MN · State License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kelly Ann Riordan-jaeschke M.s. Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476855313

PECOS Enrollment IDI20160108000952

Medicare Billing Reassignment

Medicare enrollment records show Kelly Riordan-jaeschke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Functional Integrated Therapy, Ltd

2.5 mi

Rehabilitation

2495 MAPLEWOOD DRIVE, SUITE 313
Maplewood, MN 55109

Reassigned Medicare billing, Minnesota enrollment
20 clinicians in this Medicare group

NPI 1477640613 (651) 770-8884

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 5

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

MICHELLE MARIE FERN RPT

Physical Therapist

80 MINNESOTA AVE, THERAPY CONNECTIONS FOR KIDS
LITTLE CANADA, MN 55117

Ramsey County (651) 206-3697

SCOTT GARY YOUNGSTRAND OTR

Occupational Therapist

80 MINNESOTA AVE
LITTLE CANADA, MN 55117

Ramsey County (651) 481-8040

MS. EVE MARIE PURNELL CFY-SLP

Speech-Language Pathologist

80 MINNESOTA AVE
LITTLE CANADA, MN 55117

Ramsey County (651) 481-8040

ANNA MARIE BEGLEY M.S.CCC-SLP

Speech-Language Pathologist

80 MINNESOTA AVE
LITTLE CANADA, MN 55117

Ramsey County (651) 481-8040

MISS JANET NORA ZYLINSKI M.A. CF-SLP

Speech-Language Pathologist

80 MINNESOTA AVE
LITTLE CANADA, MN 55117

Ramsey County (651) 481-8040

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 Riordan-jaeschke's NPI number?

The NPI number for Kelly Riordan-jaeschke is 1164648028. It was assigned to this individual provider in the NPPES registry on April 18, 2007. The provider is also known as Ms. Kelly Ann Riordan M.S. Ccc-Slp.

Where is Kelly Riordan-jaeschke located?

Kelly Riordan-jaeschke practices at 80 Minnesota Ave, Little Canada, MN 55117. The listed phone number is (651) 481-8040.

What is Kelly Riordan-jaeschke's specialty?

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

Is Kelly Riordan-jaeschke enrolled in Medicare?

Yes. Kelly Riordan-jaeschke is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kelly Riordan-jaeschke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Riordan-jaeschke reassigns Medicare benefits to Functional Integrated Therapy, Ltd (Maplewood, 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 Kelly Riordan-jaeschke'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 Kelly Riordan-jaeschke was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.