Jenny A Kortuem, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8036 Issued in MN

Practice address

830 Sunrise Dr Ste B
Saint Peter, MN 56082-1203

Phone

(507) 934-3573

NPI assigned

Nov 11, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Go Therapy Inc

  • Speech-Language Pathologist
  • Saint Peter, MN
  • NPI 1841730876
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1144474651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 SUNRISE DR STE B",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560821203",
            "telephone_number": "507-934-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 SUNRISE DR STE B",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560821203",
            "telephone_number": "507-934-3573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27118 W Jefferson Ln",
            "address_purpose": "LOCATION",
            "city": "Madison Lake",
            "state": "MN",
            "postal_code": "560634153",
            "country_code": "US",
            "telephone_number": "507-327-6060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORTUEM",
        "first_name": "JENNY",
        "middle_name": "A",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2021-02-08",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "8036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sable Dawn Knochenmus
• Lon T Knudson, MD
• Rachel Elizabeth Knudson, CPM, LM
• Raymond John Knutson, M.A., L.P.
• Tatiana Komleva, PSY.D., LP.
• John Howard Krohn
• Ashley Krug, ATC
• Shannon Marie Kuball, LMFT
• Carol Jean Kuisle, LICSW
• Amy A Kvidera, MD

• Speech-Language Pathologist in Saint Peter, MN
• Providers in Saint Peter, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.