Individual provider Active NPI

Karen Jasmin

  • Speech-Language Pathologist
  • Williston, ND
National Provider Identifier
1780321877
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2074 Issued in ND
Practice address
22 2ND St W
Williston, ND 58801-6055
Phone
(701) 568-8255
Fax
(701) 568-8256
NPI assigned
May 19, 2022
Last updated
May 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2074 ND Primary

Addresses

Primary practice location

22 2ND St W
Williston, ND 58801-6055

Mailing address

PO Box 736
Ray, ND 58849-0736
Phone (701) 568-8255

Other practice location 1

24 Railroad Ave
Ray, ND 58849-7707
Phone (701) 568-8255

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address therapyservices@northwestnd.com Northwest Therapy Services, LLC.

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

State licenses

LicenseStateTypeSpecialty
2074NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Therapy Services, LLC. Speech-Language Pathologist CurrentSince May 22, 2022 Accepting new patients

Locations

22 2nd St W
Williston, ND 58801
Phone (701) 568-8255

Interoperability endpoints

  • Direct secure messaging: therapyservices@northwestnd.com

Organizations & group practices 1

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": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1780321877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 736",
            "city": "RAY",
            "state": "ND",
            "postal_code": "588490736",
            "telephone_number": "701-568-8255",
            "fax_number": "701-568-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 2ND ST W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588016055",
            "telephone_number": "701-568-8255",
            "fax_number": "701-568-8256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Railroad Ave",
            "address_purpose": "LOCATION",
            "city": "Ray",
            "state": "ND",
            "postal_code": "588497707",
            "country_code": "US",
            "telephone_number": "701-568-8255",
            "fax_number": "701-568-8256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JASMIN",
        "first_name": "KAREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "2074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "therapyservices@northwestnd.com",
            "affiliation": "Y",
            "endpointDescription": "company email address",
            "affiliationName": "Northwest Therapy Services, LLC.",
            "address_1": "22 2nd St W",
            "city": "Williston",
            "state": "ND",
            "country_code": "US",
            "postal_code": "588016055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 19, 2022; 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.