Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Pieper

Individual provider Speech-Language Pathologist · NPI 1679315774

Jacqueline Pieper is a Qualified Speech Language Pathologist in Eden Prairie, Minnesota. Qualified in 2024, 2 years ago. Practices with Odom Sports Medicine PA, a 69-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6545 Flying Cloud Dr Ste 201
Eden Prairie, MN 55344-3356
Phone: (612) 364-1901
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1679315774
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 10, 2024
Last updated in NPPESJune 10, 2024
Certification dateJune 10, 2024
Mailing address6545 Flying Cloud Dr Ste 201, Eden Prairie, MN 55344-3356

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Odom Sports Medicine Pa — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Eden Prairie