Jill Henderson Taylor, CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

13663 Issued in CA

Practice address

5930 Adobe Rd
Twentynine Palms, CA 92277-2356

Phone

(760) 367-1743

NPI assigned

Jul 31, 2019

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 names 1

• Jill Mari Henderson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1356995963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5327 LEMONA AVE",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914113950",
            "telephone_number": "310-903-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 ADOBE RD",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "922772356",
            "telephone_number": "760-367-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JILL",
        "middle_name": "HENDERSON",
        "credential": "CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "13663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "HENDERSON",
            "middle_name": "MARI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather Stricklin, AMFT
• Moheen Suna-Sitto, PA
• Sungchun S. Wee, DDS, Inc
• Sidney Tobin Tavss
• Gregory M Taylor, MD
• Kevin-Thinh Ho Hoang Thai, D.O
• Samjhana Thapa
• The Janz Corporation (JANZ Medical Supply)
• Michelle Eileen Thompson
• Valerie Thompson, B.S. SLPA

• Speech-Language Pathologist in Twentynine Palms, CA
• Providers in Twentynine Palms, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.