Jill Bunzendahl Chimka, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

2800 13TH St NW
Washington, DC 20009-5318

Phone

(202) 387-4434

Fax

(202) 462-7379

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Jill Annette Bunzendahl Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Easter Seals DC MD VA

  • Speech-Language Pathologist
  • Washington, DC
  • NPI 1679588156
  NPD (past) Authorized official

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511308800000",
    "number": "1205969912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 13TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200095318",
            "telephone_number": "202-387-4434",
            "fax_number": "202-462-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 13TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200095318",
            "telephone_number": "202-387-4434",
            "fax_number": "202-462-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIMKA",
        "first_name": "JILL",
        "middle_name": "BUNZENDAHL",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2017-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029979300",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "BUNZENDAHL",
            "middle_name": "ANNETTE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Moshi Chilwana
• Victoria Chima
• Kelechi Chimaroke
• Jane Ulunma Chimezie
• Melanie Chimi
• Mercy Chimombo
• Katrina C Chin Loy, M.D.
• Emily Jean Chin, BSN
• Faith E. Chin, D.P.M
• May Lin Chin, MD

• Speech-Language Pathologist in Washington, DC
• Providers in Washington, DC by specialty
• Speech-Language Pathologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; 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.