Jill Laurie Woodard, ST

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3967 Issued in SC

Practice address

126 Millport Cir
Suite 201
Greenville, SC 29607-5562

Phone

(864) 329-1480

Fax

(864) 329-8427

NPI assigned

Jun 18, 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

• Jill Lauire Owens Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• National Neuro

  • Rehabilitation Clinic/Center
  • Greenville, SC
  • NPI 1053415620
  NPD (past)

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1316142540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 WATER RIDGE PKWY",
            "address_2": "SUITE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282174580",
            "telephone_number": "704-831-5065",
            "fax_number": "705-831-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 MILLPORT CIR",
            "address_2": "SUITE 201",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075562",
            "telephone_number": "864-329-1480",
            "fax_number": "864-329-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "JILL",
        "middle_name": "LAURIE",
        "credential": "ST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE",
            "identifier": "3967",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "OWENS",
            "middle_name": "LAUIRE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Michael Wood, M.D.
• Tracy Duvall Wood
• Zachary Harrison Wood, MD
• Carrie Jean Woodall
• Jesse D Woodard, M.D.
• Tamila Cathleen Woodard, STATE CERT CPSS
• Shaniqua Woodberry
• Virginia Diane Woodbrown, PHD
• Miesty Woodburn, M.D.
• Ana Woodfield

• Speech-Language Pathologist in Greenville, SC
• Providers in Greenville, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.