Active NPI
Jeanne Kilzer
- Speech-Language Pathologist
- Bismarck, ND
National Provider Identifier
1083673719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- ND613
- Practice address
- 100 E Boulevard Ave
Bismarck, ND 58501-3538 - Phone
- (701) 223-3040
- NPI assigned
- Mar 21, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | ND613 | ND | Primary |
Addresses
Primary practice location
100 E Boulevard Ave
Bismarck, ND 58501-3538
Mailing address
227 16TH St West Suite 100
Dickinson, ND 58601-5268
Phone (701) 225-0767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- University of North Dakota School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1679 6TH Ave W
Dickinson, ND 58601-2904
Phone (701) 483-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND613 | ND | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Solutions LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Applied Medical, Inc | Speech-Language Pathologist | Past | Accepting new patients |
Locations
1679 6th Ave W
Dickinson, ND 58601
Phone (701) 483-1000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083673719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 16TH ST WEST SUITE 100",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586015268",
"telephone_number": "701-225-0767",
"fax_number": "701-225-7123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E BOULEVARD AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585013538",
"telephone_number": "701-223-3040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILZER",
"first_name": "JEANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ND",
"license": "ND613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.