Individual provider Active NPI

Jeanne Kilzer

  • Speech-Language Pathologist
  • Bismarck, ND
National Provider Identifier
1083673719
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
ND613 Issued in ND
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 0648455949, 19 clinicians

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

LicenseStateTypeSpecialty
613NDMDClinical Neuropsychologist
ND613NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Solutions LLC Speech-Language Pathologist CurrentSince Aug 13, 2020 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.

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.

Verify at the official NPI Registry.