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JAYDEN LATTERELL
NPI 1386476919
Speech-Language Pathologist in Eden Prairie, MN

Active since August 14, 2024Accepts Medicare Assignment
6545 FLYING CLOUD DR STE 201, EDEN PRAIRIE, MN 55344(612) 364-1901 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jayden Latterell NPPES

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

JAYDEN LATTERELL (NPI 1386476919) is an individual speech-language pathologist provider in Eden Prairie, Minnesota, licensed in Minnesota (528988) and active in the NPI registry since August 2024. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1386476919
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJAYDEN LATTERELL
Location Address6545 FLYING CLOUD DR STE 201Eden Prairie, MN 55344-3356
Mailing Address6545 Flying Cloud Dr Ste 201Eden Prairie, MN 55344-3356 · (612) 364-1901
Phone(612) 364-1901
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 14, 2024
Last NPPES UpdateJuly 17, 2025
NPPES CertifiedJuly 17, 2025
✔ NPI 1386476919 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 · 528988
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.
6545 FLYING CLOUD DR STE 201, Eden Prairie, MN 55344
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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

Jayden Latterell 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 ID840730149
PECOS Enrollment IDI20240913000740

Medicare Billing Reassignments

2

Medicare enrollment records show Jayden Latterell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Odom Sports Medicine, P.A.
Same address
Sports Medicine
6545 FLYING CLOUD DR STE 201
Eden Prairie, MN 55344
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Odom Sports Medicine PA
  • 92 clinicians in this Medicare group
NPI 1275557886 (952) 224-1919
Fairview Express Care
2.4 mi
Multi-Specialty
775 PRAIRIE CENTER DR, STE 250
Eden Prairie, MN 55344
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
NPI 1710293402 (952) 944-5314

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Treatment of speech, language, voice, communication, and/or hearing processing disorder 92507
This treatment involves working with a specialist to improve communication skills. It could involve exercises to enhance speech clarity, language understanding, voice volume, or hearing comprehension. The goal is to enhance your ability to express and understand others effectively.
133 services21 patients
Evaluation of speech sound production with evaluation of language comprehension and expression 92523
This service involves assessing your ability to produce speech sounds and understand language. It also evaluates your ability to express yourself through language. It's a comprehensive review of your communication skills to identify any potential issues.
15 services15 patients

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.

LINDA JEANNE MIX YATES SLP
Speech-Language Pathologist
6545 FLYING CLOUD DR STE 201
EDEN PRAIRIE, MN 55344
Hennepin County (612) 364-1901
RILEY BREN
Physical Therapist
6545 FLYING CLOUD DR STE 201
EDEN PRAIRIE, MN 55344
Hennepin County (612) 364-1901
KAITLIN VAITH
Physical Therapist
6545 FLYING CLOUD DR STE 201
EDEN PRAIRIE, MN 55344
Hennepin County (612) 364-1901
AMY CANTELE
Speech-Language Pathologist
6545 FLYING CLOUD DR STE 201
EDEN PRAIRIE, MN 55344
Hennepin County (612) 364-1901
FAITH MADER
Speech-Language Pathologist
6545 FLYING CLOUD DR STE 201
EDEN PRAIRIE, MN 55344
Hennepin County (612) 364-1901
MADELINE CHARBONNEAU
Occupational Therapist
6545 FLYING CLOUD DR STE 201
EDEN PRAIRIE, MN 55344
Hennepin County (952) 224-1919
RACHEL ANN BABER OTR/L
Occupational Therapist
6545 FLYING CLOUD DR STE 201
EDEN PRAIRIE, MN 55344
Hennepin County (612) 364-1901
SAMANTHA PARMETER
Occupational Therapist
6545 FLYING CLOUD DR STE 201
EDEN PRAIRIE, MN 55344
Hennepin County (612) 364-1901

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 Jayden Latterell's NPI number?

The NPI number for Jayden Latterell is 1386476919. It was assigned to this individual provider in the NPPES registry on August 14, 2024.

Where is Jayden Latterell located?

Jayden Latterell practices at 6545 Flying Cloud Dr Ste 201, Eden Prairie, MN 55344. The listed phone number is (612) 364-1901.

What is Jayden Latterell's specialty?

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

Is Jayden Latterell enrolled in Medicare?

Yes. Jayden Latterell 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 organizations bill Medicare for Jayden Latterell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jayden Latterell reassigns Medicare benefits to 2 organizations: Odom Sports Medicine, P.A. (Eden Prairie, MN) and Fairview Express Care (Eden Prairie, MN). Each 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 Jayden Latterell'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 Jayden Latterell was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.