Individual provider Active NPI

Ann Marie Albrecht

  • Speech-Language Pathologist
  • Jamestown, ND
National Provider Identifier
1962536599
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
391 Issued in ND
Practice address
701 3Rd St NW
Jamestown, ND 58401-2963
Phone
(701) 252-3850
Fax
(701) 952-5154
NPI assigned
Mar 15, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 391 ND Primary

Addresses

Primary practice location

701 3Rd St NW
Jamestown, ND 58401-2963

Mailing address

701 3Rd St NW
Jamestown, ND 58401-2963
Phone (701) 252-3850

Other identifiers 2

IdentifierTypeStateIssuer
59904MedicaidND
23190OtherNDBCBS OF NORTH DAKOTA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150324000259 ND Practitioner - Qualified Speech Language Pathologist 7810214293 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Carlsen Center Speech-Language Pathologist CurrentSince Mar 20, 2015 Accepting new patients
Anne Carlsen Center for Children PastSince Dec 16, 2020 Accepting new patients

Locations

701 3rd St NW
Jamestown, ND 58401
Phone (701) 252-3850

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1962536599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 3RD ST NW",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584012963",
            "telephone_number": "701-252-3850",
            "fax_number": "701-952-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 3RD ST NW",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584012963",
            "telephone_number": "701-252-3850",
            "fax_number": "701-952-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBRECHT",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59904",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NORTH DAKOTA",
            "identifier": "23190",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.