Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENYETTA BOOKER
Deactivated Sole ProprietorKENYETTA BOOKER is a Speech, Language and Hearing Specialist healthcare provider located in ROGERS, Minnesota. NPI 1558107714 is deactivated in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · ROGERS, MN
This NPI has been deactivated.
The record was deactivated on May 2, 2025.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1558107714
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 6, 2024 (0.82191780821918 yrs)
- Last Updated
- Jan 19, 2026
- Deactivated
- May 2, 2025
- License
-
529084 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13650 MARSH VIEW BLVD APT 102ROGERS, MN, 553746034Browse MN providers · Browse ZIP 55374
- Phone
- 3183029192
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in ROGERS, MN
| Name | Credential | NPI |
|---|---|---|
| MRS. DENISE LOWE | MA CCC-SLP | 1588720817 |
| MOHAMMED SAFI | M.S. CCC-SLP | 1902159841 |
| ALLISON JANE ATHMANN | — | 1356836852 |
| KELSEY RODGERS | — | 1053024323 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.