Individual provider Active NPI

Anne Jenkins, AUD

  • Audiologist
  • Woodbury, MN
National Provider Identifier
1467906982
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
10122 Issued in MN
Practice address
628 Bielenberg Dr Ste 201
Woodbury, MN 55125-1404
Phone
(651) 220-6213
NPI assigned
Aug 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 3149 CA
Audiologist 231H00000X 10122 MN Primary

Addresses

Primary practice location

628 Bielenberg Dr Ste 201
Woodbury, MN 55125-1404

Mailing address

628 Bielenberg Dr Ste 201
Woodbury, MN 55125-1404
Phone (651) 220-6213

Other practice location 1

2525 Chicago Ave
Minneapolis, MN 55404-4518
Phone (320) 237-6737

Other practice location 2

345 Smith Ave N
Saint Paul, MN 55102-2346
Phone (320) 237-6737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180813002297 MN Practitioner - Qualified Audiologist 8527316298 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10122MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Health Care CurrentSince Jul 9, 2018 Accepting new patients
Childrens Health Care Current Accepting new patients
Children'S Health Care CurrentSince Jul 9, 2018 Accepting new patients
Childrens Health Care Past Accepting new patients
Lokeh Plastic Surgery PA PastSince Dec 1, 2019 Accepting new patients

Locations

2525 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000

5901 Lincoln Dr
#2
Saint Louis Park, MN 55436
Phone (952) 992-5691

347 Smith Ave N
Ste 600
Saint Paul, MN 55102
Phone (612) 874-1292

347 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-6000

345 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-6000

628 Bielenberg Dr
Ste 201
Woodbury, MN 55125
Phone (612) 220-5230

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1467906982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 BIELENBERG DR STE 201",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251404",
            "telephone_number": "651-220-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 BIELENBERG DR STE 201",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251404",
            "telephone_number": "651-220-6213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554044518",
            "country_code": "US",
            "telephone_number": "320-237-6737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 Smith Ave N",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551022346",
            "country_code": "US",
            "telephone_number": "320-237-6737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "ANNE",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-12",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "3149",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "10122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.