Kallie Peterson
NPI 1891368395 · Speech-Language Pathologist · Brooklyn Park, MN
Enrolled with Medicare as Practitioner - Qualified Speech Language Pathologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kallie Peterson is a Speech-Language Pathologist provider in Brooklyn Park, MN (NPI 1891368395).
Provider details
- NPI number
- 1891368395
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 14336560 (CO)
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
4 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
- 2021-07-21
- Last updated
- 2024-09-25
- Certified
- 2024-09-25
Frequently asked questions
- What is Kallie Peterson's NPI number?
- Kallie Peterson's National Provider Identifier (NPI) is 1891368395, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kallie Peterson's specialty?
- Kallie Peterson is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Kallie Peterson located?
- Kallie Peterson's practice location on file with NPPES is 9751 Regent Ave N, Brooklyn Park, MN 55443-1402.
- What is Kallie Peterson's phone number?
- The practice phone number listed in the NPPES registry for Kallie Peterson is (763) 315-5340.
- Does Kallie Peterson accept Medicare?
- Kallie Peterson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kallie Peterson's NPI active?
- Yes — Kallie Peterson's NPI (1891368395) is active in the NPPES registry as of the last update on 2024-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.