Individual provider Active NPI

Jody Lynn Paulson, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Grand Forks, ND
National Provider Identifier
1083760706
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
617 Issued in ND
Practice address
501 N Columbia Rd Stop 7132
Grand Forks, ND 58203-2817
Phone
(701) 777-3745
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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 617 ND Primary

Addresses

Primary practice location

501 N Columbia Rd Stop 7132
Grand Forks, ND 58203-2817

Mailing address

501 N Columbia Rd Stop 7132
Grand Forks, ND 58203-2817
Phone (701) 777-3691

Other practice location 1

293 Centennial Dr Stop 7132
Grand Forks, ND 58202-6066
Phone (701) 777-3745

Other identifiers 1

IdentifierTypeStateIssuer
1461997MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150514001464 MN Practitioner - Qualified Speech Language Pathologist 7012237019 Reassigns benefits to 1 organization
I20150611002284 ND Practitioner - Qualified Speech Language Pathologist 7012237019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of North DakotaGroup PAC ID 2961395934, 29 clinicians

Practice addresses (Care Compare)

293 Centennial Dr
Stop 7132
Grand Forks, ND 58202-6066
Phone (701) 777-3691

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
617NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Altru Health System CurrentSince Apr 15, 2015 Accepting new patients
University of North Dakota Speech-Language Pathologist CurrentSince Jun 23, 2019 Accepting new patients
Altru Health System Current Accepting new patients
University of North Dakota Current Accepting new patients
University of North Dakota Center for Sports Medicine Past Accepting new patients
Clinic Pharmacy Inc Past Accepting new patients

Locations

400 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9100

607 Demers Ave
East Grand Forks, MN 56721
Phone (218) 773-0357

711 Delmore Dr
Roseau, MN 56751
Phone (218) 463-1365

412 Main Ave NE
Warroad, MN 56763
Phone (218) 386-2020

1001 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2157

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

1000 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5089

293 Centennial Dr
Stop 7132
Grand Forks, ND 58202
Phone (701) 777-3745

501 N Columbia Rd
Stop 7132
Grand Forks, ND 58203
Phone (701) 777-3691

501 N Columbia Rd
Grand Forks, ND 58203
Phone (701) 777-3067

Organizations & group practices 6

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1083760706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N COLUMBIA RD STOP 7132",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582032817",
            "telephone_number": "701-777-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N COLUMBIA RD STOP 7132",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582032817",
            "telephone_number": "701-777-3745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "293 Centennial Dr Stop 7132",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582026066",
            "country_code": "US",
            "telephone_number": "701-777-3745",
            "fax_number": "701-777-3845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAULSON",
        "first_name": "JODY",
        "middle_name": "LYNN",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1461997",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.