MRS. SHELLEY ANN FOSSEN (NPI# 1679119887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679119887 |
| Entity Type | Individual |
| Full Name | MRS. SHELLEY ANN FOSSEN |
| Other Name | MRS. SHELLEY ANN SIME |
| Credential | SLPA |
| Practice Address |
207 2nd Ave Se Jamestown ND 58401-4272 |
| Practice Telephone | 7012523376 |
| Mailing Telephone | 7012523376 |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2019-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
4957 | ND | Speech, Language and Hearing Service Providers |
| Street Address |
207 2ND AVE SE |
| City | JAMESTOWN |
| State | ND |
| Zip Code | 58401-4272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245889427 | Andy Kolff | Speech-Language Pathologist | 207 2nd Ave Se, Jamestown, ND 58401-4272 | 2019-09-10 |
| 1679097463 | Brittany Marie Mildenberger | Speech-Language Pathologist | 207 2nd Ave Se, Jamestown, ND 58401-4742 | 2017-08-02 |
| 1780016592 | Sheena Neys | Speech-Language Pathologist | 207 2nd Ave Se, Jamestown, ND 58401-4272 | 2013-08-02 |
| 1912339094 | Valerie Pommerer | Speech-Language Pathologist | 207 2nd Ave Se, Jamestown, ND 58401-4272 | 2013-07-31 |
| 1750723201 | Sheila Nelson | Speech-Language Pathologist | 207 2nd Ave Se, Jamestown, ND 58401-4272 | 2013-07-25 |
| 1942642491 | Joan Gehlhar | Speech-Language Pathologist | 207 2nd Ave Se, Jamestown, ND 58401-4272 | 2013-07-25 |
| 1699117143 | Jodell Stading | Speech-Language Pathologist | 207 2nd Ave Se, Jamestown, ND 58401-4272 | 2013-07-25 |
| 1992146021 | Kelly Anderson | Specialist | 207 2nd Ave Se, Jamestown, ND 58401-4272 | 2013-07-17 |
| 1285967182 | James River Special Education Unit | Local Education Agency (LEA) | 207 2nd Ave Se, Jamestown, ND 58401-4272 | 2009-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343737 | Face and Jaw Surgeons PC | Dentist | 1517 12 Ave Ne, Jamestown, ND 58401 | 2020-10-16 |
| 1194216481 | Richard Yonick | Case Manager/Care Coordinator | South Central Human Service Center, 520 3rd St Nw, Jamestown, ND 58401 | 2018-05-23 |
| 1831607910 | Creative Journey, LLC | Clinic/Center | 429 2nd St Sw Ste 205, Jamestown, ND 58401 | 2018-01-11 |
| 1619399334 | Stutsman County Social Services | Case Manager/Care Coordinator | 116 1st Street East, Jamestown, ND 58401 | 2014-01-15 |
| 1073945176 | Sarah Walker | Pharmacist | 410 10th Street Se, Suite 8, Jamestown, ND 58401 | 2013-07-31 |
| 1811339369 | Yvette D Patrick | Occupational Therapist | 207 2nd Avenue Se, Jamestown, ND 58401 | 2013-07-25 |
| 1144582933 | Anne Carlsen Center | Intermediate Care Facility, Mentally Retarded | 701 3rd Steeet Nw, Jamestown, ND 58401 | 2012-06-08 |
| 1407008360 | Jacob Dale Reinarts | Counselor | 2504 Circle Dr # 58401, Jamestown, ND 58401 | 2008-10-22 |
| 1548426430 | Shipley Basic Care | Alzheimer Center (Dementia Center) | 1505 3 St Se, Jamestown, ND 58401 | 2008-07-31 |
| 1831384445 | Drake Counseling Services | Clinic/Center | 1210 13th Ave Sw, Jamestown, ND 58401 | 2007-09-07 |
| Find all providers in zip 58401 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205483245 | Kelli Marie Stumpf | Specialist/Technologist | 701 3rd St Nw, Jamestown, ND 58401-2963 | 2019-08-23 |
| 1528532538 | Jay Laporte | Specialist/Technologist | 701 3rd St Nw, Jamestown, ND 58401-2963 | 2019-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912483793 | Sarah Johnson | Specialist/Technologist | 2600 Demers Ave Ste 106, Grand Forks, ND 58201-4100 | 2018-07-16 |
| 1619479169 | Haley J Schmoll | Specialist/Technologist | 1411 32nd St Sw, Fargo, ND 58103-6304 | 2018-03-01 |
| 1518564848 | Marissa Michelle Odens | Specialist/Technologist | 207 Main Ave W, West Fargo, ND 58078-1725 | 2020-10-09 |
| 1346847050 | Alyssa Gourde | Specialist/Technologist | 2600 Demers Ave Ste 101, Grand Forks, ND 58201-4100 | 2020-10-06 |
| 1962017855 | Samantha Jo Schreiner | Specialist/Technologist | 102 6th St Se, Hankinson, ND 58041-4200 | 2020-09-09 |
| 1386203198 | Summer Peterick | Specialist/Technologist | 3401 45th St S Ste A, Fargo, ND 58104-8970 | 2019-06-06 |
| 1174009955 | Paige Deck | Specialist/Technologist | 2600 Demers Ave Ste 106, Grand Forks, ND 58201-4100 | 2018-07-16 |
| 1982704144 | Carey Lamoureaux | Specialist/Technologist | 2301 25th St S Ste B, Fargo, ND 58103-6104 | 2006-09-25 |
Please comment or provide details below to improve the information on MRS. SHELLEY ANN FOSSEN.
| 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.