Jody Lynn Oetken, MA/CCC-SLP
NPI 1194970996ActiveIndividual· Speech-Language Pathologist· Brookings, SD
Speech-Language Pathologist (MA/CCC-SLP) with Avera Marshall, practicing in Brookings, South Dakota. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1194970996 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA/CCC-SLP |
| Sole proprietor | Yes |
| NPI issued | Nov 20, 2008 |
| Last updated in NPPES | Nov 20, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (MN) |
|---|
Education and affiliations
| Graduation year | 1989 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Avera MarshallMarshall, MN · 99 clinicians
Other Speech-Language Pathologist providers in Brookings
- 1093555328
- 1336477116
- 1427501550
- 1770002669
- 1023260031
- 1982116406
- 1316454739
- 1922763507
- 1205508512
- 1689021438
- 1043766843
- 1912152935