Jessica Kathleen Braunberger, MS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1741 Issued in ND

Practice address

215 2ND St SE
Minot, ND 58701-3924

Phone

(701) 857-4400

NPI assigned

May 20, 2019

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)

Not 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.

• Neighborhood Pediatric Therapy, PLLC.

  • Speech-Language Pathologist
  • Minot, ND
  • NPI 1306544408
  NPD (past)

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1497311013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 2ND ST SE",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587013924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 2ND ST SE",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587013924",
            "telephone_number": "701-857-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUNBERGER",
        "first_name": "JESSICA",
        "middle_name": "KATHLEEN",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "1741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Bragg
• Kraig W Brandt, CRNA
• Lisa N Brandt, ACNP-BC
• Jastindeep Brar, MD
• Marie Ann Braswell
• Kathy Lynn Brewer
• Leah M Brewster, FNP-C
• Asia Victoria Brien
• Sarah Brien
• Christine M Brigden, LSW

• Speech-Language Pathologist in Minot, ND
• Providers in Minot, ND by specialty
• Speech-Language Pathologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.