AUTUMN KALLOCK
NPI 1538905427
Speech-Language Pathologist in East Grand Forks, MN

Q: What is Autumn Kallock's NPI number?

The NPI number for Autumn Kallock is 1538905427. It was assigned to this individual provider in the NPPES registry on July 1, 2024.

Q: What is Autumn Kallock'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 Autumn Kallock was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 01, 2024

1420 4TH AVE NW, EAST GRAND FORKS, MN 56721(218) 773-3494 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 14, 2026, Jul 1, 2024 (2 updates tracked since 2024).

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About Autumn Kallock NPPES

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

AUTUMN KALLOCK (NPI 1538905427) is an individual speech-language pathologist provider in East Grand Forks, Minnesota, licensed in North Dakota (2656) and active in the NPI registry since July 2024. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1538905427

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameAUTUMN KALLOCK

Location Address1420 4TH AVE NWEast Grand Forks, MN 56721-1522

Mailing Address2951 S 34th StGrand Forks, ND 58201-6061 · (701) 772-3851

Phone(218) 773-3494

Sole ProprietorNo

Enumeration DateJuly 1, 2024

Last NPPES UpdateApril 14, 20262 updates tracked since enumeration

NPPES CertifiedApril 14, 2026

✔ NPI 1538905427 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 · 2656

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.

1420 4TH AVE NW, East Grand Forks, MN 56721

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Secondary Practice Locations 2

Location 12200 Library CirGrand Forks, ND 58201-6326 · Phone (701) 757-2155 · Fax (701) 757-2156

Location 22951 S 34th StGrand Forks, ND 58201-6061 · Phone (701) 772-3851

Other Identifiers 1

Other2656ND · State Slp License

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 ›

Other Providers at the Same Location NPPES 4

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

POLK CO IND SCHOOL DIST 595

Local Education Agency (LEA)

1420 4TH AVE NW
EAST GRAND FORKS, MN 56721

Polk County (218) 773-0714

MS. MELANIE MAE NELSON SLP

Speech-Language Pathologist

1420 4TH AVE NW
EAST GRAND FORKS, MN 56721

Polk County (218) 773-3494

MORGAN PIEPER-GEORGE M.S. CCC-SLP

Speech-Language Pathologist

1420 4TH AVE NW
EAST GRAND FORKS, MN 56721

Polk County (218) 773-3494

CATHY A GALSTAD MS CCC/SLP

Speech-Language Pathologist

1420 4TH AVE NW
EAST GRAND FORKS, MN 56721

Polk County (218) 773-3494

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 Autumn Kallock's NPI number?

The NPI number for Autumn Kallock is 1538905427. It was assigned to this individual provider in the NPPES registry on July 1, 2024.

Where is Autumn Kallock located?

Autumn Kallock practices at 1420 4th Ave NW, East Grand Forks, MN 56721. The listed phone number is (218) 773-3494.

What is Autumn Kallock's specialty?

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

What insurance does Autumn Kallock accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Autumn Kallock 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 Autumn Kallock was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.