Jodi Ranae Rother, HIS

Primary specialty

SpecialistTaxonomy code 174400000X

License

2480 Issued in MN

Practice address

17316 Kenyon Ave
Suite 102
Lakeville, MN 55044-6909

Phone

(952) 255-8579

Fax

(952) 255-8578

NPI assigned

Mar 13, 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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Hearing Aid Doctor, Inc.

  • Hearing Instrument Specialist
  • Lakeville, MN
  • NPI 1902148414
  NPD (past) Authorized official

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1902171606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17316 KENYON AVE",
            "address_2": "SUITE 102",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446909",
            "telephone_number": "952-255-8579",
            "fax_number": "952-255-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17316 KENYON AVE",
            "address_2": "SUITE 102",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446909",
            "telephone_number": "952-255-8579",
            "fax_number": "952-255-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHER",
        "first_name": "JODI",
        "middle_name": "RANAE",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "2480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN DEPARTMENT OF HEALTH",
            "identifier": "2480",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karina Roman, LMT
• Brian Howard Roscoe, PSYD LP
• Roskamp Consulting Services, Inc
• Kim Tracy Ross, LADC
• Andrea Rosson
• Rozmarin Family Chiropractic, P. a.
• Lindsay Rose Rozmarin, D.C.
• RST Investment Group Inc.
• Aaron D. Rude, DC
• Michelle Marie Rude, MA, LPC

• Specialist in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.