Jill Skinner, MACCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202005550 Issued in VA

Practice address

205 Armstrong St
Centreville, MD 21617-2125

Phone

(410) 758-2323

NPI assigned

Mar 23, 2007

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

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1093832248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 OLD BON AIR PL",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354509",
            "telephone_number": "410-562-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 ARMSTRONG ST",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216172125",
            "telephone_number": "410-758-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "JILL",
        "credential": "MACCCSLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202005550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert C Schmidt, LCPC NCC
• Ashley Elaina Semans, CRNP-PMH
• Lillian Sheehan, LCPC
• Muhammad Kamran Siddique, MD
• Marian Sinclair, LCSW-C
• Matthew Smithmyer, PHARMD
• Kathleen Patricia Snyder
• Angela Renee Sommer, MACCC-SLP
• Marci Stinson
• Dorothy Stokes

• Speech-Language Pathologist in Centreville, MD
• Providers in Centreville, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.