CHRISTINE DOTZENROD CHILDRESS
NPI 1366800377
Speech-Language Pathologist in Baxter, MN

Q: What is Christine Dotzenrod Childress's NPI number?

The NPI number for Christine Dotzenrod Childress is 1366800377. It was assigned to this individual provider in the NPPES registry on February 4, 2016.

Q: What is Christine Dotzenrod Childress's specialty?

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

Active since February 04, 2016

15620 EDGEWOOD DR, STE 240, BAXTER, MN 56401(218) 454-7012(218) 454-7015 Get Directions Write a Review

NPPES record last updated: February 4, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Christine Dotzenrod Childress NPPES

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

CHRISTINE DOTZENROD CHILDRESS (NPI 1366800377) is an individual speech-language pathologist provider in Baxter, Minnesota, licensed in Minnesota (9472) and active in the NPI registry since February 2016. She is a graduate of Other (2015).

NPPES Registry Identity

NPI1366800377

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameCHRISTINE DOTZENROD CHILDRESS

Location Address15620 EDGEWOOD DR, STE 240Baxter, MN 56401-6983

Mailing Address309 Washington AveOrtonville, MN 56278-1357 · (320) 839-4086 · Fax (320) 839-4196

Phone(218) 454-7012

Fax(218) 454-7015

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateFebruary 4, 2016

✔ NPI 1366800377 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 · 9472

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.

15620 EDGEWOOD DR, Baxter, MN 56401

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christine Dotzenrod Childress is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052610722

PECOS Enrollment IDI20260318001222

Other Providers at the Same Location NPPES 8

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

ANGELA REMMICK

Occupational Therapist

15620 EDGEWOOD DR, SUITE 240
BRAINERD, MN 56401

Crow Wing County (218) 454-7012

MRS. KATIE JEAN SWENEY OT

Occupational Therapist

15620 EDGEWOOD DR, STE 240
BAXTER, MN 56401

Crow Wing County (218) 454-7012

MS. MACKENZIE DETERMAN M.S., SLP-CF

Speech-Language Pathologist

15620 EDGEWOOD DR, STE 240
BAXTER, MN 56401

Crow Wing County (218) 454-7012

ANDREA RHUBY

Speech-Language Pathologist

15620 EDGEWOOD DR, SUITE 240
BRAINERD, MN 56401

Crow Wing County (218) 454-7012

MR. DAVID BRIAN PAUL MD

Urology

15620 EDGEWOOD DR, STE 200
BRAINERD, MN 56401

Crow Wing County (218) 330-6999

KAYLA SATTERLUND SLP

Speech-Language Pathologist

15620 EDGEWOOD DR, SUITE 240
BAXTER, MN 56401

Crow Wing County (218) 454-7012

JOANNA GRIFFIN

Occupational Therapist

15620 EDGEWOOD DR, STE 240
BAXTER, MN 56401

Crow Wing County (218) 454-7012

KARLEY SYKORA

Speech-Language Pathologist

15620 EDGEWOOD DR, STE 240
BAXTER, MN 56401

Crow Wing County (218) 454-7012

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 Christine Dotzenrod Childress's NPI number?

The NPI number for Christine Dotzenrod Childress is 1366800377. It was assigned to this individual provider in the NPPES registry on February 4, 2016.

Where is Christine Dotzenrod Childress located?

Christine Dotzenrod Childress practices at 15620 Edgewood Dr Ste 240, Baxter, MN 56401. The listed phone number is (218) 454-7012.

What is Christine Dotzenrod Childress's specialty?

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

Is Christine Dotzenrod Childress enrolled in Medicare?

Yes. Christine Dotzenrod Childress is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christine Dotzenrod Childress was last updated on February 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.