Jill Marie Closeme, M.S. , CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL012778 Issued in PA

Practice address

336 Bloomfield St Ste 203
Johnstown, PA 15904-3271

Phone

(814) 266-3196

NPI assigned

Feb 24, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1519430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1326549338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 BLOOMFIELD ST STE 203",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043271",
            "telephone_number": "814-266-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 BLOOMFIELD ST STE 203",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043271",
            "telephone_number": "814-266-3196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 S Kimberly Ave Ste 41",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "PA",
            "postal_code": "155012069",
            "country_code": "US",
            "telephone_number": "814-701-2898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLOSEME",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "credential": "M.S. , CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL012778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Anne Clark, BSW
• Michael Anthony Clark, M.S.W.
• Breton James Claycomb, M.E.
• David Scott Claycomb, RPH
• Lori Beth Claycomb, CRNP
• James Cochran
• Amanda Cole, MSW
• Theresa Ann Cole, D.O.
• Zoe Cole, MD
• Victoria L Coleman, RN

• Speech-Language Pathologist in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.