Healthcare Provider Details

I. General information

NPI: 1568288199
Provider Name (Legal Business Name): JIANNA BARTHOLOMEW MS, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/27/2024
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8011 S CINNAMON RIDGE PL
SIOUX FALLS SD
57108-6466
US

IV. Provider business mailing address

8011 S CINNAMON RIDGE PL
SIOUX FALLS SD
57108-6466
US

V. Phone/Fax

Practice location:
  • Phone: 605-271-1852
  • Fax:
Mailing address:
  • Phone: 605-217-1852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1428-SLP
License Number StateSD
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number528842
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: