Jill Pettit, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

31632 Issued in CA

Practice address

1250 Hahman Dr
Santa Rosa, CA 95405-6996

Phone

(707) 890-3830

NPI assigned

Sep 9, 2026

Sex

Unspecified or another gender identity

Sole proprietor

No

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

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1184534455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 STONY POINT RD STE 210",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 HAHMAN DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056996",
            "telephone_number": "707-890-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIT",
        "first_name": "JILL",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "31632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Paul Peterson, M.D.
• Sherrill Diane Petherbridge, FNP
• Parker William Petray
• Maria M. Petrick, M.D.
• Katherine Pettibone, DPM
• Alice D Petty-Hannum, MFT
• Joseph Michael Petzel, M.F.T.
• Michael Leonce Pezold, M.D.
• Christina Catherine Pfeifer
• Angela Bizzarri Pflugrath, DO

• Speech-Language Pathologist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.