Jennifer Tellefson

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

2875 Issued in MN

Practice address

504 NW 1St Ave Ste 290
Grand Rapids, MN 55744-2668

Phone

(218) 326-7051

NPI assigned

Mar 26, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mid West Hearing LLC

  • Hearing Aid Equipment
  • Hermantown, MN
  • NPI 1184811267

  Hearing Instrument Specialist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1033746383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 NW 1ST AVE STE 290",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442668",
            "telephone_number": "218-326-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 NW 1ST AVE STE 290",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442668",
            "telephone_number": "218-326-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLEFSON",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MN",
            "license": "2875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifertellefson@frasierenterprises.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "504 NW 1st Ave Ste 290",
            "city": "Grand Rapids",
            "state": "MN",
            "country_code": "US",
            "postal_code": "557442668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heather Ann Swanson-Hill, APRN
• Amy Swaser, APRN, CNP
• Charles Paul Tabor, MD
• Karolyn Teeters
• Ellen S Teigland, MS, APRN, BC, LP
• The Duluth Clinic LTD
• The Duluth Clinic LTD
• The Emeralds at Grand Rapids Assisted Living LLC
• The Emeralds at Grand Rapids LLC
• The Rock HHC Inc.

• Hearing Instrument Specialist in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Hearing Instrument Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.