Jenna M Hautamaki, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8774 Issued in MN

Practice address

1101 9TH St N
Essentia Health Virginia Clinic
Virginia, MN 55792-2329

Phone

(218) 741-0510

NPI assigned

Aug 9, 2012

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

Other names 1

• Jenna M Philippi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503964800000",
    "number": "1588911531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 9TH ST N",
            "address_2": "ESSENTIA HEALTH VIRGINIA CLINIC",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922329",
            "telephone_number": "218-741-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 9TH ST N",
            "address_2": "ESSENTIA HEALTH VIRGINIA CLINIC",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922329",
            "telephone_number": "218-741-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUTAMAKI",
        "first_name": "JENNA",
        "middle_name": "M",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2017-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "8774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "PHILIPPI",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Lynn Hanson
• Vernon Lee Hanson, LICSW
• Katie Pietrini Harley, LICSW
• Carla Mae Hartmark
• Diana Elizabeth Harvey, RN, CNP
• Ashley Breanne Hawkings
• Drew Hayes
• Talyn Michelle Hedin
• Ellen L Hedlund, R. PH.
• Susan Helfter

• Speech-Language Pathologist in Virginia, MN
• Providers in Virginia, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; 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.