Active NPI
Jody Lynn Paulson, M.S. CCC-SLP
- Speech-Language Pathologist
- Grand Forks, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 617
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1461997 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, ND
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 617 | ND | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altru Health System | Current | Accepting new patients | |
| University of North Dakota | Speech-Language Pathologist | Current | 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.
-
- Family Medicine Physician
- Bismarck, ND
- NPI 1619905528
-
- Clinic/Center
- Crookston, MN
- NPI 1760494330
-
- Rural Health Clinic/Center
- Roseau, MN
- NPI 1770672289
-
- Community/Retail Pharmacy
- Devils Lake, ND
- NPI 1184718876
-
- Physical Therapist
- Grand Forks, ND
- NPI 1215080437
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.