NANETTE S KENNELLY MS CCC-SLP
NPI 1316160914
Speech-Language Pathologist in Fargo, ND

Q: What is Nanette Kennelly's NPI number?

The NPI number for Nanette Kennelly is 1316160914. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Q: What is Nanette Kennelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nanette Kennelly was last updated on July 9, 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.

Active since April 11, 2007Accepts Medicare Assignment

1220 MAIN AVE, SUITE 100, FARGO, ND 58103(701) 364-5433(701) 364-2256 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nanette S Kennelly Ms Ccc-slp NPPES

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

NANETTE S KENNELLY MS CCC-SLP (NPI 1316160914) is an individual speech-language pathologist provider in Fargo, North Dakota, licensed in North Dakota (664) and active in the NPI registry since April 2007. She is a graduate of Other (1994).

NPPES Registry Identity

NPI1316160914

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameNANETTE S KENNELLYCredential: MS CCC-SLP

Location Address1220 MAIN AVE, SUITE 100Fargo, ND 58103-8201

Mailing AddressPo Box 746Fargo, ND 58107-0746 · (701) 364-5433 · Fax (701) 364-2256

Phone(701) 364-5433

Fax(701) 364-2256

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateApril 11, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1316160914 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 ND · 664

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.

1220 MAIN AVE, Fargo, ND 58103

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Other Identifiers 2

Medicaid50906ND

Other26042ND · Nd Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nanette S Kennelly Ms 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 ID6103010988

PECOS Enrollment IDI20101105000555

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.

KATYANA MARIE WIEDENMAN MS

Speech-Language Pathologist

1220 MAIN AVE, SUITE 120
FARGO, ND 58103

Cass County (701) 364-5433

DR. RODNEY A SWENSON PH.D.

Clinical Neuropsychologist

1220 MAIN AVE, SUITE 100
FARGO, ND 58103

Cass County (701) 297-7588

DAVID DONALD WELLS DDS

Dentist (General Practice)

1220 MAIN AVE
FARGO, ND 58103

Cass County (701) 237-6307

WHITNEY MOORE

Speech-Language Pathologist

1220 MAIN AVE, SUITE 120
FARGO, ND 58103

Cass County (701) 364-5433

DR. CHRISTOPHER J SCHMALTZ D.D.S.

Dentist (General Practice)

1220 MAIN AVE, SUITE #220
FARGO, ND 58103

Cass County (701) 237-6307

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 Nanette Kennelly's NPI number?

The NPI number for Nanette Kennelly is 1316160914. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Nanette Kennelly located?

Nanette Kennelly practices at 1220 Main Ave Suite 100, Fargo, ND 58103. The listed phone number is (701) 364-5433.

What is Nanette Kennelly's specialty?

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

Is Nanette Kennelly enrolled in Medicare?

Yes. Nanette Kennelly 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.

What insurance does Nanette Kennelly accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Nanette Kennelly 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 Nanette Kennelly was last updated on July 9, 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.