Jill Madore-Olson, SLP, VITAL STIM CERF

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101000410 Issued in MI

Practice address

6181 Lismore Cir
Grand Blanc, MI 48439-2320

Phone

(248) 328-5861

NPI assigned

May 11, 2016

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": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1184070898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6181 LISMORE CIR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6181 LISMORE CIR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392320",
            "telephone_number": "248-328-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADORE-OLSON",
        "first_name": "JILL",
        "name_prefix": "Mrs.",
        "credential": "SLP, VITAL STIM CERF",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101000410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilson Mace, DO
• Shatan Mack
• Michelle Mackay
• John Macksood, D.O.
• Daniel Thomas Madar, D.C.
• Divya Mahesh, MD
• Dema Mahjoub, DDS
• Benjamin Mairs, MD
• Dominic Edward Maiuro
• Joshua Majkowski

• Speech-Language Pathologist in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.