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Jill Dimitri , ST

Speech-Language Pathologist β€’ White Bear Lake, MN

Active NPI 1568543387 Individual Practitioner Female Practitioner
Practice location in NPPES

2555 County Road E E # 102
White Bear Lake, MN 551104906

Call 6516832953 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2555 County Road E E # 102

White Bear Lake, MN 551104906

Telephone 6516832953

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in White Bear Lake and Minnesota

21 active clinicians are listed under Speech-Language Pathologist with a practice address in White Bear Lake, MN (3,083 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in White Bear Lake

0% of these 21 clinicians have the CMS telehealth indicator.

0% of these 21 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES MN 9503

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location October 02, 2019

Registered at 2555 COUNTY ROAD E E # 102, WHITE BEAR LAKE, MN 551104906 (Tel: 6516832953)

πŸ“
Updated Business Mailing Address October 02, 2019

Registered at 150 LOST LAKE CT, MAHTOMEDI, MN 551151865 (Tel: 3098306216)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2019

Speech-Language Pathologist (license number reported to NPPES: MN 9503)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 1606 HUNT DR, SPICE OF MARC, NORMAL, IL 617612192 (Tel: 3094520069)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 1606 HUNT DR, SPICE OF MARC, NORMAL, IL 617612192 (Tel: 3094520069)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as JILL DIMITRI, ST

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist

🟒
Initial NPI Registration & Enumeration October 18, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1568543387
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2006
Last Update: October 02, 2019
Sole Proprietor: Yes

Mailing Address

150 Lost Lake Ct

Mahtomedi, MN 551151865

Phone: 3098306216

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.