Individual provider Active NPI

Jana Pearson, SLP

  • Speech-Language Pathologist
  • Williston, ND
National Provider Identifier
1578995296
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1866 Issued in ND
Practice address
1905 14TH St W
Williston, ND 58801-4063
Phone
(701) 651-6437
Fax
(701) 516-8462
NPI assigned
Aug 5, 2013
Last updated
Oct 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6997 LA
Speech-Language Pathologist 235Z00000X 1866 ND Primary

Addresses

Primary practice location

1905 14TH St W
Williston, ND 58801-4063

Mailing address

1905 14TH St W
Williston, ND 58801-4063
Phone (701) 651-6437

Other practice location 1

683 State Ave Ste B
Dickinson, ND 58601-4660
Phone (701) 483-9400

Other practice location 2

1727 Imperial Blvd Bldg 3
Lake Charles, LA 70605-5362
Phone (337) 478-5880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200902002846 ND Practitioner - Qualified Speech Language Pathologist 9830322627 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6997LAMDCase Manager/Care Coordinator
1866NDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Milestone Health Partners, LLC CurrentSince Oct 30, 2022 Accepting new patients
Milestone Health Partners, LLC CurrentSince Nov 1, 2022 Accepting new patients
Omaha Therapy Dba Rehab Visions PastSince Aug 1, 2020 Accepting new patients

Locations

1905 14th St W
Williston, ND 58801
Phone (701) 651-6437

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1578995296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 14TH ST W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588014063",
            "telephone_number": "701-651-6437",
            "fax_number": "701-516-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 14TH ST W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588014063",
            "telephone_number": "701-651-6437",
            "fax_number": "701-516-8462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "683 State Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Dickinson",
            "state": "ND",
            "postal_code": "586014660",
            "country_code": "US",
            "telephone_number": "701-483-9400",
            "fax_number": "701-483-9398",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1727 Imperial Blvd Bldg 3",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706055362",
            "country_code": "US",
            "telephone_number": "337-478-5880",
            "fax_number": "337-478-5879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "JANA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "6997",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "1866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.