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Jadie Gail Malark Grimm , MS, CCC-SLP

Speech-Language Pathologist β€’ Coon Rapids, MN

Active NPI 1699312785 Individual Practitioner Female Practitioner
Practice location in NPPES

3960 Coon Rapids Blvd Nw Ste 123
Coon Rapids, MN 554332521

Call 7632367337 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3960 Coon Rapids Blvd Nw Ste 123

Coon Rapids, MN 554332521

Telephone 7632367337
Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Las Vegas, NV. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Coon Rapids and Minnesota

38 active clinicians are listed under Speech-Language Pathologist with a practice address in Coon Rapids, MN (3,083 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Coon Rapids

0% of these 38 clinicians have the CMS telehealth indicator.

2.6% of these 38 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-09-17
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES MN 528701

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES NV SP-2653

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES NV SP-2858

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Secondary Practice Locations

3213 W Charleston Blvd Ste 105

Las Vegas, NV 891021991

Phone: 7634383744

3165 N Rainbow Blvd

Las Vegas, NV 891084578

Phone: 7634383744

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location September 17, 2023

Registered at 3960 COON RAPIDS BLVD NW STE 123, COON RAPIDS, MN 554332521 (Tel: 7632367337)

πŸ“
Updated Business Mailing Address September 17, 2023

Registered at 8020 PARELL AVE NE, OTSEGO, MN 553304562

πŸ“
Updated Practice Location September 22, 2021

Registered at 3165 N RAINBOW BLVD, LAS VEGAS, NV 891084578 (Tel: 7634383744)

πŸ‘€
Provider Name / Credentials Updated September 22, 2021

Recorded as JADIE GRIMM, MS, CCC-SLP

βœ…
NPI Profile Active December 08, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 08, 2019

Registered at 3213 W CHARLESTON BLVD STE 105, LAS VEGAS, NV 891021991 (Tel: 7634383744)

πŸ“
Business Mailing Address (Initial Record) December 08, 2019

Registered at 3213 W CHARLESTON BLVD STE 105, LAS VEGAS, NV 891021991

πŸ‘€
Provider Name / Credentials (Initial Record) December 08, 2019

Recorded as JADIE MCDONALD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2019

Speech-Language Pathologist (license number reported to NPPES: NV SP-2653)

🟒
Initial NPI Registration & Enumeration December 08, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1699312785
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 08, 2019
Last Update: September 17, 2023
Sole Proprietor: No

Mailing Address

8020 Parell Ave Ne

Otsego, MN 553304562

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.