Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Anne Williams

Individual provider Speech-Language Pathologist · NPI 1538925706

Jessica Anne Williams is a Qualified Speech Language Pathologist in Eden Prairie, Minnesota. Qualified in 2017, 9 years ago. Practices with Active Therapy Mn, a 22-clinician group. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2024
Specialties on file
2

Practice location Address checks out

10300 Hennepin Town Rd
Eden Prairie, MN 55347-5100
Phone: (952) 444-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 14116594 (MN)
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1538925706
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 26, 2024
Last updated in NPPESFebruary 26, 2024
Certification dateFebruary 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Active Therapy Mn — 22 clinicians
Accepts Medicare assignment Not indicated

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