Active NPI
Jill Lynn Rouland, SLP
- Speech-Language Pathologist
- Springfield, IL
National Provider Identifier
1285882498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242.000824
- Practice address
- 2120 W Washington St
Regency Nursing Care Residence
Springfield, IL 62702-4630 - Phone
- (217) 793-4880
- NPI assigned
- Aug 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242.000824 | IL | Primary |
Addresses
Primary practice location
2120 W Washington St
Regency Nursing Care Residence
Springfield, IL 62702-4630
Mailing address
2120 W Washington St
Regency Nursing Care Residence- Therapy Dept.
Springfield, IL 62702-4630
Phone (217) 793-4880
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242.000824 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253491200000",
"number": "1285882498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 W WASHINGTON ST",
"address_2": "REGENCY NURSING CARE RESIDENCE- THERAPY DEPT.",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627024630",
"telephone_number": "217-793-4880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 W WASHINGTON ST",
"address_2": "REGENCY NURSING CARE RESIDENCE",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627024630",
"telephone_number": "217-793-4880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROULAND",
"first_name": "JILL",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-29",
"last_updated": "2009-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242.000824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.