Individual provider Active NPI

Jami Schwab

  • Speech-Language Pathologist
  • Bismarck, ND
National Provider Identifier
1578714606
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1040 Issued in ND
Practice address
1600 E Interstate Ave Ste 3
Bismarck, ND 58503-1226
Phone
(701) 751-1125
Fax
(701) 751-0729
NPI assigned
Oct 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1040 ND Primary

Addresses

Primary practice location

1600 E Interstate Ave Ste 3
Bismarck, ND 58503-1226

Mailing address

1600 E Interstate Ave Ste 3
Bismarck, ND 58503-1226
Phone (701) 751-1125

Other identifiers 1

IdentifierTypeStateIssuer
55295MedicaidND

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210223003157 ND Practitioner - Qualified Speech Language Pathologist 6507271608 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1040NDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Milestones Therapy, LLC Speech-Language Pathologist CurrentSince Nov 12, 2020 Accepting new patients

Locations

1600 E Interstate Ave
Ste 3
Bismarck, ND 58503
Phone (701) 751-1124

Organizations & group practices 1

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": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1578714606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E INTERSTATE AVE STE 3",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031226",
            "telephone_number": "701-751-1125",
            "fax_number": "701-751-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E INTERSTATE AVE STE 3",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031226",
            "telephone_number": "701-751-1125",
            "fax_number": "701-751-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWAB",
        "first_name": "JAMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "1040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55295",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.