Briann Rae Jennissen, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9402 Issued in MN

Practice address

14050 Nicollet Ave
Burnsville, MN 55337

Phone

(952) 993-6800

NPI assigned

Mar 5, 2015

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Ace Speech and Language Clinic, LLC

  • Speech-Language Pathologist
  • Saint Paul, MN
  • NPI 1326059536
  NPD (past)
• Eyewear Specialists Inc

  • Eyewear Supplier
  • New Prague, MN
  • NPI 1275612418
  NPD (past)

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1265825939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 RANKIN ST",
            "address_2": "SUITE 221",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551163141",
            "telephone_number": "651-222-7768",
            "fax_number": "651-698-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14050 NICOLLET AVE",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "55337",
            "telephone_number": "952-993-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNISSEN",
        "first_name": "BRIANN",
        "middle_name": "RAE",
        "name_prefix": "Miss",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-05",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean Francis Jankord, D.C.
• Kelsie Marie Janney, DPT
• Abdulrahman Hussein Jareste
• Amin A Jawdal
• Sheila J Jenkins, M.D.
• Debra Cyd Jensen, SLP
• Taylor Rose Jensen, PHYSICIAN ASSISTANT
• Jean Jentz, PT
• Rachel Jeppesen
• Chelsey Renee Jernberg Peschges, LPCC

• Speech-Language Pathologist in Burnsville, MN
• Providers in Burnsville, 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 Jul 3, 2018; 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.