KRISTA KELLY PETERSEN
NPI 1821668245
Speech-Language Pathologist in Edina, MN

Active since June 28, 2021
6200 XERXES AVE S, EDINA, MN 55423(952) 925-8500 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Krista Kelly Petersen NPPES

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

KRISTA KELLY PETERSEN (NPI 1821668245) is an individual speech-language pathologist provider in Edina, Minnesota, licensed in Minnesota (8918) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1821668245
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKRISTA KELLY PETERSEN
Location Address6200 XERXES AVE SEdina, MN 55423-1033
Mailing Address104 Fairway DrGlencoe, MN 55336-3214 · (952) 465-7636
Sole ProprietorYes
Enumeration DateJune 28, 2021
NPPES CertifiedJune 28, 2021
NPI 1821668245 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 · 8918
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.

6200 XERXES AVE S, Edina, MN 55423

Other Providers at the Same Location NPPES 19

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

Skilled Nursing Facility
6200 XERXES AVE S
EDINA, MN 55423
Skilled Nursing Facility
6200 XERXES AVE S
EDINA, MN 55423
Physical Therapy Assistant
6200 XERXES AVE S
EDINA, MN 55423
Physical Therapy Assistant
6200 XERXES AVE S
EDINA, MN 55423
Physical Therapist
6200 XERXES AVE S
EDINA, MN 55423
Occupational Therapist
6200 XERXES AVE S
EDINA, MN 55423
Occupational Therapy Assistant
6200 XERXES AVE S
EDINA, MN 55423
Occupational Therapy Assistant
6200 XERXES AVE S
EDINA, MN 55423

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 Krista Petersen's NPI number?

The NPI number for Krista Petersen is 1821668245. It was assigned to this individual provider in the NPPES registry on June 28, 2021.

Where is Krista Petersen located?

Krista Petersen practices at 6200 Xerxes Ave S, Edina, MN 55423. The listed phone number is (952) 925-8500.

What is Krista Petersen's specialty?

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

When was this NPI record last updated?

The NPPES record for Krista Petersen was last updated on June 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.