Active NPI
Deanna Marie Schnotala, M.A., CCC-SLP
- Speech-Language Pathologist
- Centennial, CO
National Provider Identifier
1235786179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP.0004291
- Practice address
- 9137 E Mineral Cir Ste 120
Centennial, CO 80112-3422 - Phone
- (303) 284-4021
- NPI assigned
- Aug 26, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242.005498 | IL | |
| Speech-Language Pathologist | 235Z00000X | SLP.0004291 | CO | Primary |
Addresses
Primary practice location
9137 E Mineral Cir Ste 120
Centennial, CO 80112-3422
Mailing address
9137 E Mineral Cir Ste 120
Centennial, CO 80112-3422
Phone (303) 284-4021
Other practice location 1
5669 N Northwest Hwy
Chicago, IL 60646-6176
Phone (774) 467-5669
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Chicago | ||
| Other URL | Centennial |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP.0004291 | CO | MD | Speech-Language Pathologist |
| 242.005498 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jill Tullman & Associates, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Jill Tullman & Associates, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
9137 E Mineral Cir
Ste 120
Centennial, CO 80112
Phone (303) 284-4021
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Colorado Springs, CO
- NPI 1194334169
-
- Speech-Language Pathologist
- Centennial, CO
- NPI 1902067812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627862400000",
"number": "1235786179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9137 E MINERAL CIR STE 120",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801123422",
"telephone_number": "303-284-4021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9137 E MINERAL CIR STE 120",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801123422",
"telephone_number": "303-284-4021"
}
],
"practiceLocations": [
{
"address_1": "5669 N Northwest Hwy",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606466176",
"country_code": "US",
"telephone_number": "774-467-5669",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHNOTALA",
"first_name": "DEANNA",
"middle_name": "MARIE",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-26",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242.005498",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "SLP.0004291",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Chicago",
"affiliation": "N",
"address_1": "5669 N Northwest Hwy",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606466176",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Centennial",
"affiliation": "N",
"address_1": "9137 E Mineral Cir Ste 120",
"city": "Centennial",
"state": "CO",
"country_code": "US",
"postal_code": "801123422",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.