NPIMap

Individual provider Active NPI

Jill Dee Pelunis, MS CCC SLP

  • Speech-Language Pathologist
  • Atkinson, NH
National Provider Identifier
1043379936
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0032 Issued in NH
Practice address
8 Commerce Drive
Atkinson, NH 03811
Phone
(603) 893-1299
Fax
(603) 893-5401
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 0032 NH Primary

Addresses

Primary practice location

8 Commerce Drive
Atkinson, NH 03811

Mailing address

18 Simon St
Nashua, NH 03061
Phone (603) 883-8205

Other identifiers 4

IdentifierTypeStateIssuer
272746OtherNHCIGNA
561822OtherNHAETNA
626514OtherNHHARVARD PILGRIM
761242OtherNHTUFTS

Other names 1

  • Mrs. Jill Dee Habalow Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0032NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals New Hampshire, Inc Speech-Language Pathologist Past Accepting new patients
Gateways Community Services Past Accepting new patients
Nashua Center for the Multiply Handicapped, Inc. Past Accepting new patients
Community Crossroads, Inc. Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043379936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SIMON ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "03061",
            "telephone_number": "603-883-8205",
            "fax_number": "603-881-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 COMMERCE DRIVE",
            "city": "ATKINSON",
            "state": "NH",
            "postal_code": "03811",
            "telephone_number": "603-893-1299",
            "fax_number": "603-893-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELUNIS",
        "first_name": "JILL",
        "middle_name": "DEE",
        "name_prefix": "Mrs.",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "0032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "272746",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "561822",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "626514",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "761242",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "HABALOW",
            "middle_name": "DEE",
            "prefix": "MRS.",
            "credential": "SLP CCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atkinson, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.