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
- 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200929000351 | ND | Practitioner - Qualified Speech Language Pathologist | 2163841974 | Reassigns benefits to 1 organization |
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
- Therapy Solutions LLC
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 |
|---|---|---|---|
| 613 | ND | MD | Clinical Neuropsychologist |
| 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 and National Provider Directory roles.
-
- Physical Therapist
- Dickinson, ND
- NPI 1801195045
ND, Speech-Language Pathologist
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.