Active NPI
Jillian Beth Perez, MS, CCC-SLP
- Speech-Language Pathologist
- Celebration, FL
National Provider Identifier
1093065443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202012468
- Practice address
- 1301 Artisan Ave E # B
Celebration, FL 34747-4064 - Phone
- (401) 636-2216
- NPI assigned
- Sep 13, 2012
- Last updated
- Jun 25, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP01202 | RI | |
| Speech-Language Pathologist | 235Z00000X | 2202012468 | VA | Primary |
Addresses
Primary practice location
1301 Artisan Ave E # B
Celebration, FL 34747-4064
Mailing address
1301 Artisan Ave E # B
Celebration, FL 34747-4064
Phone (401) 636-2216
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP00260-P | Other | RI | PROFESSIONAL LICENSE |
| SA14710 | Other | FL | FLORIDA DOH |
Other names 1
- Jillian Rivers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260603003398 | VA | Practitioner - Qualified Speech Language Pathologist | 3971074683 |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7600 Chevy Chase Dr
Suite 300
Austin, TX 78752-1503
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP01202 | RI | MD | Speech-Language Pathologist |
| 2202012468 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1093065443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 ARTISAN AVE E # B",
"city": "CELEBRATION",
"state": "FL",
"postal_code": "347474064",
"telephone_number": "401-636-2216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 ARTISAN AVE E # B",
"city": "CELEBRATION",
"state": "FL",
"postal_code": "347474064",
"telephone_number": "401-636-2216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "JILLIAN",
"middle_name": "BETH",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-13",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "RI",
"license": "SP01202",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202012468",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE",
"identifier": "SP00260-P",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA DOH",
"identifier": "SA14710",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JILLIAN",
"last_name": "RIVERS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Celebration, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.