Individual provider Active NPI

Jennifer Newland

  • Behavior Analyst
  • Montevideo, MN
National Provider Identifier
1720572803
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
2419 Washington Ave
Montevideo, MN 56265-2619
Phone
(507) 339-4933
Fax
(320) 877-9088
NPI assigned
Jun 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

2419 Washington Ave
Montevideo, MN 56265-2619

Mailing address

320 Saturn St N Ste a
Cosmos, MN 56228-9757
Phone (507) 339-4933

Other practice location 1

1314 N Hiawatha Ave
Pipestone, MN 56164-2282
Phone (507) 825-5858

Other practice location 2

320 Saturn St N Ste A
Cosmos, MN 56228-9757
Phone (320) 877-7074

Other identifiers 1

IdentifierTypeStateIssuer
1083175442MedicaidMN

Other names 1

  • Jennifer Bozosi Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SWWC Service Cooperatives Current Accepting new patients
SWWC Service Cooperatives CurrentSince Aug 1, 2019 Accepting new patients

Locations

320 Saturn St N
#A
Cosmos, MN 56228
Phone (320) 877-7074

2419 Washington Ave
Montevideo, MN 56265
Phone (320) 321-1484

1314 N Hiawatha Ave
Pipestone, MN 56164
Phone (320) 877-7074

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1720572803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SATURN ST N STE A",
            "city": "COSMOS",
            "state": "MN",
            "postal_code": "562289757",
            "telephone_number": "507-339-4933",
            "fax_number": "320-877-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 WASHINGTON AVE",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562652619",
            "telephone_number": "507-339-4933",
            "fax_number": "320-877-9088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1314 N Hiawatha Ave",
            "address_purpose": "LOCATION",
            "city": "Pipestone",
            "state": "MN",
            "postal_code": "561642282",
            "country_code": "US",
            "telephone_number": "507-825-5858",
            "fax_number": "320-877-9088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Saturn St N Ste A",
            "address_purpose": "LOCATION",
            "city": "Cosmos",
            "state": "MN",
            "postal_code": "562289757",
            "country_code": "US",
            "telephone_number": "320-877-7074",
            "fax_number": "320-877-9088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWLAND",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083175442",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BOZOSI",
            "credential": "MS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Montevideo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.