MEDICARE: JANE WILLIS SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	6130	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HP46019	OTHER	MN	HEALTH PARTNERS
2	058K2WI	OTHER	MN	BCBS
3	4600666	OTHER	MN	MEDICA

General Provider Information

NPI Number	:	1366524647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE WILLIS SLP

Provider Business Mailing Address
First Line	:	1449 LAKEVIEW AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55416-3612
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1130 NICOLLET AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55403-2405
Country	:	US
Telephone Number	:	763-689-5385
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	07/09/2007

Similar Medicare Providers

1881776292 — KARI SCHMITZ OTR
Practice Location Address:

1130 NICOLLET AVE
MINNEAPOLIS, MN
55403-2405

Practice Phone: 763-689-5385
Practice Fax:

1972957033 — YWCA OF MINNEAPOLIS
Practice Location Address:

1130 NICOLLET MALL
MINNEAPOLIS, MN
55403-2405

Practice Phone: 612-332-0501
Practice Fax:

1518837756 — HAVEN SCHULTZE SLP-CCC
Practice Location Address:

1130 NICOLLET MALL
MINNEAPOLIS, MN
55403-2405

Practice Phone: 952-939-0396
Practice Fax: 402-518-8396

1487629531 — KRISTA J LOOP CFNP
Practice Location Address:

3300 FREMONT AVE N
MINNEAPOLIS, MN
55412-2405

Practice Phone: 612-588-9411
Practice Fax: 612-588-8066

1508835422 — MARK M VINT
Practice Location Address:

3300 FREMONT AVE N
MINNEAPOLIS, MN
55412-2405

Practice Phone: 612-588-9411
Practice Fax: 612-588-8066

1407893357 — R SCOTT DYER M.D.
Practice Location Address:

3300 FREMONT AVE N
MINNEAPOLIS, MN
55412-2405

Practice Phone: 612-588-9411
Practice Fax: 612-522-6627

Directions to “ JANE WILLIS SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.