JENNIFER ANNETTE CARLSON (NPI# 1780107946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780107946 |
| Entity Type | Individual |
| Full Name | JENNIFER ANNETTE CARLSON |
| Credential | CFY |
| Practice Address |
15620 Edgewood Dr Ste 240 Baxter MN 56401-6984 |
| Mailing Address |
309 Washington Ave Ortonville MN 56278-1357 |
| Practice Telephone | 2184547012 |
| Practice Fax Number | 2184547015 |
| Mailing Telephone | 3208394090 |
| Mailing Fax Number | 3208394196 |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 9929 | MN | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508307083 | Jennifer Carlson | Community Based Residential Treatment Facility, Mental Illness | 8375 South 700east, Sandy, UT 84070 | 2017-03-16 |
| 1518386259 | Jennifer Carlson | Social Worker | 601 Shetland Cir, Nokomis, FL 34275-1631 | 2014-04-09 |
| 1790124279 | Jennifer Leilani Carlson | Doula | 7241 Jillspring Ct, Springfield, VA 22152-3609 | 2013-06-18 |
| 1124171061 | Jennifer Lee Carlson | Legal Medicine | 4484 Peachtree Rd Ne, Atlanta, GA 30319-2737 | 2007-01-22 |
| 1710939814 | Jennifer Bergeron Carlson | Pediatrics | 52 Timber Ln, South Burlington, VT 05403-7204 | 2006-05-17 |
| 1043838774 | Jennifer Marie Carlson | Dentist | 2101 Aspen Dr, Mechanicsburg, PA 17055-5508 | 2020-07-09 |
| 1437618667 | Jennifer Marie Carlson | Specialist/Technologist | 613 S Knik Goose Bay Rd Ste B, Wasilla, AK 99654-8090 | 2019-03-18 |
| 1194299933 | Jennifer Carlson | Counselor | 1640 Powers Ferry Rd Se, Building 2 Ste 150, Marietta, GA 30067 | 2019-01-15 |
| 1407349871 | Jennifer Angelique Carlson | Family Medicine | 1123 N Evergreen Rd, Spokane Valley, WA 99216-1138 | 2018-06-11 |
| 1386192177 | Jennifer K Carlson | Psychologist | 1920 Briarcliff Rd Ne, Atlanta, GA 30329 | 2016-09-21 |
| Street Address |
15620 EDGEWOOD DR STE 240 |
| City | BAXTER |
| State | MN |
| Zip Code | 56401-6984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053458364 | Teri Kaminski Peterson | Speech-Language Pathologist | 15620 Edgewood Dr Ste 240, Baxter, MN 56425 | 2007-01-30 |
| 1457823890 | Nicole Renae Demmers | Speech-Language Pathologist | 15620 Edgewood Dr Ste 240, Baxter, MN 56401-6984 | 2018-12-26 |
| 1134642390 | Isaac Bitter | Physical Therapist | 15620 Edgewood Dr Ste 240, Baxter, MN 56401-6984 | 2017-07-19 |
| 1619321833 | Laura Ann Bye | Speech-Language Pathologist | 15620 Edgewood Dr Ste 240, Baxter, MN 56401-6984 | 2016-04-14 |
| 1952739898 | Abigail Brashear | Physical Therapist | 15620 Edgewood Dr Ste 240, Baxter, MN 56401-6984 | 2013-10-30 |
| 1841576717 | Kaila Marie Borchardt | Occupational Therapist | 15620 Edgewood Dr Ste 240, Baxter, MN 56401-6984 | 2011-10-24 |
| 1770818668 | Melissa Dawn Davidson | Occupational Therapist | 15620 Edgewood Dr Ste 240, Baxter, MN 56401-6984 | 2009-10-09 |
| 1093991093 | Jeffrey Alan Donatelle | Physical Therapist | 15620 Edgewood Dr Ste 240, Baxter, MN 56401-6984 | 2008-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396222832 | Nicholas James Manning | Physical Therapist | 7350 Clearwater Rd N, Baxter, MN 56401 | 2018-07-27 |
| 1952819757 | Hannah Marie Darabi | Physical Therapist | Essentia Health Rehabilitation Services, 2016 South Sixth Street, Brainer, MN 56401 | 2018-01-15 |
| 1154867406 | Nancy Ann Schauer | Social Worker | 823 Maple Street, Northern Pine Mental Health Center, Brainerd, MN 56401 | 2017-01-10 |
| 1336530310 | Audrey Jean Twit | Pharmacist | 523 North Third Street, Essentia Health St Joseph's Medical Center, Brainerd, MN 56401 | 2015-02-11 |
| 1245638584 | The Renneke Chiropractic Clinic | Physical Therapist | 623 Madison St., Brainerd, MN 56401 | 2014-12-19 |
| 1124420179 | Jenna Niggeler | Acupuncturist | 1001 Kingwood St Ste 119a, Brainerd, MN 56401 | 2014-09-22 |
| 1073933719 | Nicholas Adam Lesmeister | Orthopaedic Surgery | 2014 South 6th Street, Brainerd, MN 56401 | 2014-04-21 |
| 1073864666 | Jennifer L. Owens | Marriage & Family Therapist | 4706 Wilderness Ct Ste 101, Brainerd, MN 56401 | 2012-09-24 |
| 1619297447 | Christine Elaine Smalling | Licensed Practical Nurse | 6317 Estate Circle Drive, Brainerd, MN 56401 | 2010-06-03 |
| 1528241577 | Dannia Lor Vang | Pharmacist | 2024 South 6th St, Clinic Pharmacy, Brainerd, MN 56401 | 2007-12-13 |
| Find all providers in zip 56401 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194097337 | The Amazing Journey, LLC | Speech-Language Pathologist | 7658 Design Rd, Suite 300, Baxter, MN 56425-8439 | 2012-02-03 |
| 1003000340 | Todd Blowers | Speech-Language Pathologist | 13795 Kenwood Dr, Baxter, MN 56425-8504 | 2007-08-29 |
| 1851500938 | East Kentucky Speech Hearing and Therapy Services | Speech-Language Pathologist | 1148 Coldiron Hts, Baxter, KY 40806-8419 | 2007-05-22 |
| 1285842757 | Rebecca Singleton Goss | Speech-Language Pathologist | 1148 Coldiron Heights, Baxter, KY 40806 | 2007-05-18 |
| 1477681203 | Rachel Cornett Rose | Speech-Language Pathologist | 162 Highway 522, Baxter, KY 40806-8562 | 2007-03-01 |
| 1053458364 | Teri Kaminski Peterson | Speech-Language Pathologist | 15620 Edgewood Dr Ste 240, Baxter, MN 56425 | 2007-01-30 |
| 1457823890 | Nicole Renae Demmers | Speech-Language Pathologist | 15620 Edgewood Dr Ste 240, Baxter, MN 56401-6984 | 2018-12-26 |
| 1972954840 | Kayla Satterlund | Speech-Language Pathologist | 15620 Edgewood Dr, Suite 240, Baxter, MN 56401-6983 | 2016-06-22 |
| 1619321833 | Laura Ann Bye | Speech-Language Pathologist | 15620 Edgewood Dr Ste 240, Baxter, MN 56401-6984 | 2016-04-14 |
| 1366800377 | Christine Dotzenrod Childress | Speech-Language Pathologist | 15620 Edgewood Dr, Ste 240, Baxter, MN 56401-6983 | 2016-02-04 |
| Find all providers in BAXTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.