Active NPI
Jennifer Leuthold, M.S. CCC-SLP
- Speech-Language Pathologist
- Rochester, MN
National Provider Identifier
1083870836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7913
- Practice address
- 300 1St Ave NW
Suite 200
Rochester, MN 55901-2830 - Phone
- (507) 298-2222
- Fax
- (507) 298-2227
- NPI assigned
- Jul 31, 2008
- 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 | 7913 | MN | Primary |
Addresses
Primary practice location
300 1St Ave NW
Suite 200
Rochester, MN 55901-2830
Mailing address
300 1St Ave NW
Suite 200
Rochester, MN 55901-2830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7913 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217462400000",
"number": "1083870836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 1ST AVE NW",
"address_2": "SUITE 200",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559012830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 1ST AVE NW",
"address_2": "SUITE 200",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559012830",
"telephone_number": "507-298-2222",
"fax_number": "507-298-2227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEUTHOLD",
"first_name": "JENNIFER",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-31",
"last_updated": "2008-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "7913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.