Jill Rodibaugh, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP005863 Issued in GA

Practice address

204 Resource LN
Winder, GA 30680-8361

Phone

(678) 963-0694

Fax

(888) 547-4008

NPI assigned

Nov 17, 2006

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 names 1

• Jill Hollis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Let'S Communicate, Inc

  • Speech-Language Pathologist
  • Winder, GA
  • NPI 1467696393
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1043383896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 RESOURCE LN",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306808361",
            "telephone_number": "678-963-0694",
            "fax_number": "888-547-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 RESOURCE LN",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306808361",
            "telephone_number": "678-963-0694",
            "fax_number": "888-547-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODIBAUGH",
        "first_name": "JILL",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "HOLLIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rhett K. Rainey, D. O.
• Jasmine Richard
• Aubrey Hinson Roberds, FNP-C
• Pamela Denise Robinson, LCSW
• Tremyia Robinson
• Bria Rogers
• Nora M Romero Miranda, MD
• Mayra M Rosales Guerra, BCBA
• Matthew Walter Ryan, DC
• Michelle M. Sanchez-Weiss, L.P.N.

• Speech-Language Pathologist in Winder, GA
• Providers in Winder, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.