Individual provider Active NPI

Jamie J Johnson, AUD

  • Audiologist
  • Rochester, MN
National Provider Identifier
1669886065
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
9598 Issued in MN
Practice address
210 9TH St SE
Rochester, MN 55904-6756
Phone
(507) 287-2711
NPI assigned
Jun 13, 2014
Last updated
May 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 9598 MN Primary

Addresses

Primary practice location

210 9TH St SE
Rochester, MN 55904-6756

Mailing address

210 9TH St SE
Rochester, MN 55904-6756
Phone (507) 287-2711

Other names 1

  • Jamie Burt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141021003281 AK Practitioner - Qualified Audiologist 6901027689 Reassigns benefits to 1 organization
I20160209001956 MN Practitioner - Qualified Audiologist 6901027689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olmsted Medical CenterGroup PAC ID 8527970060, 324 clinicians

Practice addresses (Care Compare)

210 9TH St SE
Rochester, MN 55904-6425
Phone (507) 288-3443

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9598MNMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Hearing Services Incorporated Audiologist CurrentSince Sep 1, 2014 Accepting new patients
Olmsted Medical Center CurrentSince Feb 1, 2016 Accepting new patients

Locations

4200 Lake Otis Pkwy
Ste 302
Anchorage, AK 99508
Phone (907) 561-1326

935 E Westpoint Dr
Ste 101
Wasilla, AK 99654
Phone (907) 257-1326

1650 4th St SE
Rochester, MN 55904
Phone (507) 285-8485

210 9th St SE
Rochester, MN 55904
Phone (507) 529-6616

Organizations & group practices 2

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": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1669886065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 9TH ST SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559046756",
            "telephone_number": "507-287-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 9TH ST SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559046756",
            "telephone_number": "507-287-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAMIE",
        "middle_name": "J",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-13",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "9598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "BURT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.