Individual provider Active NPI

Jyll Ann Chandler Reyes, MA SLP

  • Speech-Language Pathologist
  • Palm Springs, CA
National Provider Identifier
1245493469
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14146 Issued in CA
Practice address
160 N Luring Dr.
Ste E/H/J
Palm Springs, CA 92262-9226
Phone
(760) 778-6111
Fax
(760) 406-4229
NPI assigned
Jul 8, 2008
Last updated
Aug 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 14146 CA Primary

Addresses

Primary practice location

160 N Luring Dr.
Ste E/H/J
Palm Springs, CA 92262-9226

Mailing address

160 N Luring Dr Ste E
Palm Springs, CA 92262-6840
Phone (760) 778-6111

Other practice location 1

1445 N Sunrise Way Ste 104B
Palm Springs, CA 92262-3700
Phone (808) 250-5976

Other practice location 2

4560 SE International Way
Suite 100 Consonus Healthcare Services
Milwaukie, OR 97222
Phone (971) 206-5167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171130001133 CA Practitioner - Qualified Speech Language Pathologist 1759648694 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
14146CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Milestones Speech and Language Therapy Speech-Language Pathologist CurrentSince Jun 1, 2022 Accepting new patients

Locations

160 N Luring Dr
Ste E
Palm Springs, CA 92262
Phone (760) 778-6111

160 N Luring Dr
Ste Ehj
Palm Springs, CA 92262
Phone (760) 778-6111

160 N Luring Dr
Ste H
Palm Springs, CA 92262
Phone (706) 778-6111

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1245493469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 N LURING DR STE E",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626840",
            "telephone_number": "760-778-6111",
            "fax_number": "760-406-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N LURING DR.",
            "address_2": "STE E/H/J",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922629226",
            "telephone_number": "760-778-6111",
            "fax_number": "760-406-4229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1445 N Sunrise Way Ste 104B",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922623700",
            "country_code": "US",
            "telephone_number": "808-250-5976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4560 SE International Way",
            "address_2": "Suite 100 Consonus Healthcare Services",
            "address_purpose": "LOCATION",
            "city": "Milwaukie",
            "state": "OR",
            "postal_code": "97222",
            "country_code": "US",
            "telephone_number": "971-206-5167",
            "fax_number": "977-206-5209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANDLER REYES",
        "first_name": "JYLL",
        "middle_name": "ANN",
        "credential": "MA SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "14146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.