Active NPI
Janette Elizabeth Ann Venaas Gilbraith
- Speech-Language Pathologist
- Fargo, ND
National Provider Identifier
1376699744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 528
- Practice address
- 10318 6TH St S
Fargo, ND 58104-8116 - Phone
- (701) 238-3908
- Fax
- (701) 232-2330
- NPI assigned
- Jan 26, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 528 | ND | Primary |
| Speech-Language Pathologist | 235Z00000X | 7852 | MN |
Addresses
Primary practice location
10318 6TH St S
Fargo, ND 58104-8116
Mailing address
10318 6TH St S
Fargo, ND 58104-8116
Phone (701) 238-3908
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55035 | Medicaid | ND |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 528 | ND | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quotable Kids Pediatric Therapy Clinic, PLLC | Current | Accepting new patients | |
| Pediatric Therapy Partners, Inc. | Current | Accepting new patients | |
| Pediatric Speech Solutions Incorporated | Speech-Language Pathologist | Past | Accepting new patients |
Locations
3060 Frontier Way S
Fargo, ND 58104
Phone (701) 356-4384
2600 Demers Ave
Ste 101
Grand Forks, ND 58201
Phone (701) 757-3045
Organizations & group practices 3
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.
-
- Speech-Language Pathologist
- Fargo, ND
- NPI 1174679534
-
- Early Intervention Provider Agency
- Fargo, ND
- NPI 1104426352
-
- Hearing and Speech Clinic/Center
- Grand Forks, ND
- NPI 1376989855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376699744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10318 6TH ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581048116",
"telephone_number": "701-238-3908",
"fax_number": "701-232-2330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10318 6TH ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581048116",
"telephone_number": "701-238-3908",
"fax_number": "701-232-2330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENAAS GILBRAITH",
"first_name": "JANETTE",
"middle_name": "ELIZABETH ANN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ND",
"license": "528",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "7852",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55035",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.