Individual provider Active NPI

Jillian Marie Sanchez, M.A.-SLP

  • Speech-Language Pathologist
  • Schererville, IN
National Provider Identifier
1043486749
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22004975A Issued in IN
Practice address
2509 Ashley Ave
Schererville, IN 46375-6008
Phone
(219) 384-5455
NPI assigned
May 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 46001782A IN
Speech-Language Pathologist 235Z00000X 22004975A IN Primary

Addresses

Primary practice location

2509 Ashley Ave
Schererville, IN 46375-6008

Mailing address

2509 Ashley Ave
Schererville, IN 46375-6008
Phone (219) 384-5455

Other practice location 1

1423 Poplar Ln
Munster, IN 46321-4315
Phone (219) 384-5455

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

State licenses

LicenseStateTypeSpecialty
22004975AINMDSpeech-Language Pathologist
46001782AINMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043486749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 ASHLEY AVE",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463756008",
            "telephone_number": "219-384-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 ASHLEY AVE",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463756008",
            "telephone_number": "219-384-5455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1423 Poplar Ln",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463214315",
            "country_code": "US",
            "telephone_number": "219-384-5455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "JILLIAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.A.-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "46001782A",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22004975A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schererville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.