Individual provider Active NPI

Lonna Schmidt, MST-CCC

  • Speech-Language Pathologist
  • Jamestown, ND
National Provider Identifier
1487878294
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
921 Issued in ND
Practice address
701 3Rd St NW
Jamestown, ND 58401
Phone
(701) 952-5142
Fax
(701) 952-1450
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150309000723 ND Practitioner - Qualified Speech Language Pathologist 2163748245 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
921NDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Carlsen Center Speech-Language Pathologist CurrentSince Mar 20, 2015 Accepting new patients
Anne Carlsen Center for Children PastSince Dec 16, 2020 Accepting new patients

Locations

701 3rd St NW
Jamestown, ND 58401
Phone (701) 252-3850

2200 20th St SW
Jamestown, ND 58401
Phone (701) 252-3850

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 921 ND Primary

Addresses

NPPES NPI Registry

Primary practice location

701 3Rd St NW
Jamestown, ND 58401

Mailing address

701 3Rd St NW
Jamestown, ND 58401
Phone (701) 952-5142

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1459072MedicaidND

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 11, 2018.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1487878294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 3RD ST NW",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "58401",
            "telephone_number": "701-952-5142",
            "fax_number": "701-952-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 3RD ST NW",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "58401",
            "telephone_number": "701-952-5142",
            "fax_number": "701-952-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "LONNA",
        "credential": "MST-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1459072",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.