Individual provider Active NPI

Jamie Rose Schlies, CCC-SLP

  • Speech-Language Pathologist
  • St Louis Park, MN
National Provider Identifier
1235704644
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
479528 Issued in MN
Practice address
2200 Nevada Ave S
St Louis Park, MN 55426-2659
Phone
(920) 676-2722
NPI assigned
May 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 165042 AK
Speech-Language Pathologist 235Z00000X 479528 MN Primary

Addresses

Primary practice location

2200 Nevada Ave S
St Louis Park, MN 55426-2659

Mailing address

1635 Swan Rd Apt 9
De Pere, WI 54115-4037
Phone (920) 676-2722

Electronic endpoints 8

TypeEndpointUseAffiliation
CONNECT URL jamie.schlies@presencelearning.com Health Information Exchange (HIE)
FHIR URL jamie.schlies@presencelearning.com Health Information Exchange (HIE)
RESTful URL Jamie.schlies@presencelearning.com Health Information Exchange (HIE)
Other URL jamie.schlies@presencelearning.com Health Information Exchange (HIE)
Direct Messaging Address jamie.schlies@presencelearning.com Health Information Exchange (HIE)
Direct Messaging Address jamie.schlies@presencelearning.com Health Information Exchange (HIE)
SOAP URL jamie.schlies@presencelearning.com Health Information Exchange (HIE)
Direct Messaging Address jamie.schlies@presencelearning.com Direct

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

State licenses

LicenseStateTypeSpecialty
165042AKMDSpeech-Language Pathologist
479528MNMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1235704644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 SWAN RD APT 9",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541154037",
            "telephone_number": "920-676-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NEVADA AVE S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554262659",
            "telephone_number": "920-676-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLIES",
        "first_name": "JAMIE",
        "middle_name": "ROSE",
        "name_prefix": "Miss",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "165042",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "479528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jamie.schlies@presencelearning.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1635 Swan Rd Apt 9",
            "city": "DE Pere",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541154037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "jamie.schlies@presencelearning.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1635 Swan Rd Apt 9",
            "city": "DE Pere",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541154037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "Jamie.schlies@presencelearning.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1635 Swan Rd Apt 9",
            "city": "DE Pere",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541154037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jamie.schlies@presencelearning.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1635 Swan Rd Apt 9",
            "city": "DE Pere",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541154037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jamie.schlies@presencelearning.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1635 Swan Rd Apt 9",
            "city": "DE Pere",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541154037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jamie.schlies@presencelearning.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2200 Nevada Ave S",
            "city": "St Louis Park",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554262659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "jamie.schlies@presencelearning.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1635 Swan Rd Apt 9",
            "city": "DE Pere",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541154037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jamie.schlies@presencelearning.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1635 Swan Rd Apt 9",
            "city": "DE Pere",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541154037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.