Jack Avery, CCC/SLP
NPI 1306930086 · Speech-Language Pathologist · Minneapolis, MN
Jack Avery, CCC/SLP is a Speech-Language Pathologist provider in Minneapolis, MN (NPI 1306930086).
Provider details
- NPI number
- 1306930086
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- CCC/SLP
- Sex
- Male
- Sole proprietor
- No
- License
- 5938 (MN)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jack Avery's NPI number?
- Jack Avery's National Provider Identifier (NPI) is 1306930086, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Avery's specialty?
- Jack Avery is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Jack Avery located?
- Jack Avery's practice location on file with NPPES is Minneapolis Vamc, Minneapolis, MN 55417.
- What is Jack Avery's phone number?
- The practice phone number listed in the NPPES registry for Jack Avery is (612) 467-5289.
- Is Jack Avery's NPI active?
- Yes — Jack Avery's NPI (1306930086) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.