Jill Wickman Escriva

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8709-1 Issued in NY

Practice address

2503 Canandaigua Rd
Macedon, NY 14502-8842

Phone

(315) 986-5779

NPI assigned

Aug 4, 2008

Last updated

Aug 4, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1013173558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 CANANDAIGUA RD",
            "city": "MACEDON",
            "state": "NY",
            "postal_code": "145028842",
            "telephone_number": "315-986-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 CANANDAIGUA RD",
            "city": "MACEDON",
            "state": "NY",
            "postal_code": "145028842",
            "telephone_number": "315-986-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCRIVA",
        "first_name": "JILL",
        "middle_name": "WICKMAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "8709-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE; SPEECH PATHOLOGIST",
            "identifier": "8709-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CVS Albany LLC (CVS Pharmacy 01286)
• Francis R Debski, D.D.S.
• Desiree Dixon
• Kaira Elizabeth Donnan
• Mackenzie Dubay, M.S., CCC-SLP
• Christopher Etterle, MD
• Laura Evans, LMHC
• Roxanne Marie Finney, LPN
• Michelle Ann Fousse, LMT
• Kaylen Furr, MHC

• Speech-Language Pathologist in Macedon, NY
• Providers in Macedon, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.