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

MS. Kelly Ann Riordan-Jaeschke, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1164648028

MS. Kelly Ann Riordan-Jaeschke, MSCCC-SLP is a Qualified Speech Language Pathologist in Little Canada, Minnesota. Qualified in 1995, 31 years ago. Accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
31
Licensed in
MN
In the registry since
2007

Practice location Address checks out

80 Minnesota Ave
Little Canada, MN 55117-1781
Phone: (651) 481-8040
Fax: (651) 481-8649
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 7026 (MN)

Record details

NPI number1164648028
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedApril 18, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Little Canada