Jody Lynn Oetken, MA/CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

2110 Moriarty Dr
Brookings, SD 57006-5526

Phone

(605) 696-0282

NPI assigned

Nov 20, 2008

Last updated

Nov 20, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialty

Qualified Speech Language Pathologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avera MarshallGroup PAC ID 5799695227, 102 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.04 of 100Reported as apm

Quality

89.99

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Avera Marshall

  dba Avera Marshall Regional Medical Center

  • Critical Access Hospital
  • Marshall, MN
  • NPI 1568401016
  Medicare reassignment Care Compare group NPD
• Avera Marshall

  dba Avera Medical Group Carlson

  • Multi-Specialty Clinic/Center
  • Marshall, MN
  • NPI 1407330301
  NPD
• Avera Marshall

  dba Avera Medical Group Optometry - Marshall

  • Optometrist
  • Marshall, MN
  • NPI 1487422465
  NPD
• Pro PT, Inc.

  • Physical Therapist
  • Brookings, SD
  • NPI 1053414235
  NPD (past)
• Avera Marshall

  dba Avera Marshall Specialty Clinic

  • Multi-Specialty Clinic/Center
  • Marshall, MN
  • NPI 1962641936
  NPD (past)

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1194970996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 MORIARTY DR",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570065526",
            "telephone_number": "605-696-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 MORIARTY DR",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570065526",
            "telephone_number": "605-696-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OETKEN",
        "first_name": "JODY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MA/CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Perspectives Counseling
• Valerie Youego Ngatchou Hatton, MS, CDT
• Regan M Norgaard, PA-C
• North Main Family Dentistry LLC
• Northland Hearing Centers, Inc. (NuEar Hearing Center)
• Theresa Oey-Trudeau, MD
• Jenna Olauson, BS, ACT
• Brandi Lee Olson
• Jennifer Lea Olson, MD
• Rita Kaye Olson, MS

• Speech-Language Pathologist in Brookings, SD
• Providers in Brookings, SD by specialty
• Speech-Language Pathologist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.