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ANNALYN SMITH M.A, CCC-SLP
NPI 1912514258
Speech-Language Pathologist in Plymouth, MN

Active since September 30, 2020
15600 36TH AVE N STE 120, PLYMOUTH, MN 55446(763) 595-0812(763) 595-0824 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 8, 2023, Jul 19, 2021, Sep 30, 2020 (3 updates tracked since 2020).

About Annalyn Smith M.a, Ccc-slp NPPES

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

ANNALYN SMITH M.A, CCC-SLP (NPI 1912514258) is an individual speech-language pathologist provider in Plymouth, Minnesota, licensed in Minnesota (10287) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1912514258
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameANNALYN SMITHCredential: M.A, CCC-SLP
Location Address15600 36TH AVE N STE 120Plymouth, MN 55446-3687
Mailing Address15600 36th Ave N Ste 120Plymouth, MN 55446-3687 · (763) 595-0812 · Fax (763) 595-0824
Phone(763) 595-0812
Fax(763) 595-0824
Sole ProprietorNo
Enumeration DateSeptember 30, 2020
Last NPPES UpdateApril 15, 20253 updates tracked since enumeration
NPPES CertifiedApril 15, 2025
✔ NPI 1912514258 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 · 10287
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.
15600 36TH AVE N STE 120, Plymouth, MN 55446
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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 (PECOS)

Annalyn Smith M.a, Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Annalyn Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Minnetonka Pediatric Therapy Center, LLC
Same address
Speech-Language Pathologist
15600 36TH AVE N STE 120
Plymouth, MN 55446
  • Reassigned Medicare billing, Minnesota enrollment
  • 8 clinicians in this Medicare group
NPI 1891998035 (763) 595-0812

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

Other Providers at the Same Location NPPES 14

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

MEGAN STUMPF
Speech-Language Pathologist
15600 36TH AVE N STE 120
PLYMOUTH, MN 55446
Hennepin County (763) 595-0812
LINDSAY RENEE BARRETT MA/CCC-SLP
Speech-Language Pathologist
15600 36TH AVE N STE 120
PLYMOUTH, MN 55446
Hennepin County (763) 595-0812
ELIZABETH ELAINE MCGLYNN
Speech-Language Pathologist
15600 36TH AVE N STE 120
PLYMOUTH, MN 55446
Hennepin County (763) 595-0812
SARAH JOY MOEN PT, DPT
Physical Therapist (Pediatrics)
15600 36TH AVE N STE 120
PLYMOUTH, MN 55446
Hennepin County (763) 595-0812
ELIZABETH ASTURIAS MS OTR/L
Occupational Therapist (Pediatrics)
15600 36TH AVE N STE 120
PLYMOUTH, MN 55446
Hennepin County (763) 595-0812
KAYE M BAUMGARDNER MS CCC-SLP, COM, CLC
Speech-Language Pathologist
15600 36TH AVE N STE 120
PLYMOUTH, MN 55446
Hennepin County (763) 595-0812
BRITTANY WINTER
Occupational Therapist
15600 36TH AVE N STE 120
PLYMOUTH, MN 55446
Hennepin County (763) 595-0812
KATHERINE ELIZABETH LAMB MS CCC-SLP
Speech-Language Pathologist
15600 36TH AVE N STE 120
PLYMOUTH, MN 55446
Hennepin County (635) 950-8127

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 Annalyn Smith's NPI number?

The NPI number for Annalyn Smith is 1912514258. It was assigned to this individual provider in the NPPES registry on September 30, 2020.

Where is Annalyn Smith located?

Annalyn Smith practices at 15600 36th Ave N Ste 120, Plymouth, MN 55446. The listed phone number is (763) 595-0812.

What is Annalyn Smith's specialty?

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

Is Annalyn Smith enrolled in Medicare?

Yes. Annalyn Smith is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Annalyn Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Annalyn Smith reassigns Medicare benefits to Minnetonka Pediatric Therapy Center, LLC (Plymouth, MN). The 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 Annalyn Smith'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 Annalyn Smith was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.