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LISA KERSTIN CHANNON I
NPI 1912846510
Speech-Language Pathologist in Mahtomedi, MN

Active since March 27, 2026
666 WARNER AVE S, MAHTOMEDI, MN 55115(651) 407-2309 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Kerstin Channon I NPPES

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

LISA KERSTIN CHANNON I (NPI 1912846510) is an individual speech-language pathologist provider in Mahtomedi, Minnesota and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1912846510
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameLISA KERSTIN CHANNON I
Location Address666 WARNER AVE SMahtomedi, MN 55115-6882
Mailing Address9 Lacosta CirDellwood, MN 55110-1223 · (651) 407-2309
Phone(651) 407-2309
Sole ProprietorYes
Enumeration DateMarch 27, 2026
NPPES CertifiedMarch 27, 2026
✔ NPI 1912846510 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
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.
666 WARNER AVE S, Mahtomedi, MN 55115
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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 Lisa Channon's NPI number?

The NPI number for Lisa Channon is 1912846510. It was assigned to this individual provider in the NPPES registry on March 27, 2026.

Where is Lisa Channon located?

Lisa Channon practices at 666 Warner Ave S, Mahtomedi, MN 55115. The listed phone number is (651) 407-2309.

What is Lisa Channon'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 Lisa Channon was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.