IndividualActive
Lisa Rickert, MS, CCC-SLP
NPI 1114413077 · Speech-Language Pathologist · Coon Rapids, MN
Provider details
- NPI number
- 1114413077
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MS, CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- 8381 (MN)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3111 124th Ave Nw Ste 123
Coon Rapids, MN 55433-4573
Phone: (763) 236-7337
Street-level locationGet directions
Mailing address
11604 65th Ave N
Maple Grove, MN 55369-6100
Registry dates
- Enumerated
- 2018-07-03
- Last updated
- 2018-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.