Tannajean M. Bubalo, MS-CCC, SLP
NPI 1275460727ActiveIndividual· Speech-Language Pathologist· Anoka, MN
Speech-Language Pathologist (MS-CCC, SLP) in Anoka, Minnesota, licensed in MN, with an NPI issued in May 2026.
Overview
| NPI | 1275460727 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS-CCC, SLP |
| Sole proprietor | No |
| NPI issued | May 7, 2026 |
| Last updated in NPPES | May 7, 2026 |
| Certified by provider | May 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 343640 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Speech-Language Pathologist providers in Anoka
- 1710814264
- 1801723358
- 1245167881
- 1336076975
- 1649107194
- 1124388475
- 1841127388
- 1528995073
- 1740580760
- 1194653568
- 1487940508
- 1992632442