Active NPI
Jill Altman, CCC-SLP
- Speech-Language Pathologist
- Jenison, MI
National Provider Identifier
1164327425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7101004439
- Practice address
- 2140 Bauer Rd
Jenison, MI 49428-9562 - Phone
- (616) 457-3400
- NPI assigned
- Oct 8, 2026
- Last updated
- Oct 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7101004439 | MI | Primary |
Addresses
Primary practice location
2140 Bauer Rd
Jenison, MI 49428-9562
Mailing address
8375 20TH Ave
Jenison, MI 49428-9230
Phone (616) 457-8890
Other practice location 1
8295 20th Ave
Jenison, MI 49428-9558
Phone (616) 457-1402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791417600000",
"number": "1164327425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8375 20TH AVE",
"city": "JENISON",
"state": "MI",
"postal_code": "494289230",
"telephone_number": "616-457-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 BAUER RD",
"city": "JENISON",
"state": "MI",
"postal_code": "494289562",
"telephone_number": "616-457-3400"
}
],
"practiceLocations": [
{
"address_1": "8295 20th Ave",
"address_purpose": "LOCATION",
"city": "Jenison",
"state": "MI",
"postal_code": "494289558",
"country_code": "US",
"telephone_number": "616-457-1402",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALTMAN",
"first_name": "JILL",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-08",
"last_updated": "2026-10-08",
"certification_date": "2026-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101004439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jenison, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.