Jessica Kay Stolle Anderson

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

1694 Issued in ND

Practice address

1876 Charleswood Estates Dr
West Fargo, ND 58078-4203

Phone

(701) 347-1782

Fax

(701) 404-8274

NPI assigned

Aug 9, 2023

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

Practice roles

Locations

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.

• Myna Therapy Services PLLC

  • Multi-Specialty Clinic/Center
  • Fargo, ND
  • NPI 1427788629
  NPD
• Myna Early Intervention LLC

  • Early Intervention Provider Agency
  • Fargo, ND
  • NPI 1639981343
  NPD (past)

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1659054377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1876 CHARLESWOOD ESTATES DR",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580784203",
            "telephone_number": "701-347-1782",
            "fax_number": "701-404-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1876 CHARLESWOOD ESTATES DR",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580784203",
            "telephone_number": "701-347-1782",
            "fax_number": "701-404-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLLE ANDERSON",
        "first_name": "JESSICA",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "ND",
            "license": "1694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy W Stark, DC DACBSP ICSSD CSCS
• Amber Steenstrup
• Erin Stephany
• Allison Stickel
• Seth Jared Stofferahn, OD
• Brittany Stoltman, SLP
• Amanda Jo Storrusten, PHARMD
• Michaela Stratmoen
• Kaitlyn Suppa, CASE MANAGER
• Dayna Swancutt

• Speech-Language Assistant in West Fargo, ND
• Providers in West Fargo, ND by specialty
• Speech-Language Assistant in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.