Jill Dillon Nuffer, SLP, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

JILL DILLON NUFFER, SLP, LLC

Practice address

806 S Garfield Ave
Traverse City, MI 49686-3430

Phone

(989) 460-7365

NPI assigned

Aug 19, 2024

Last updated

Aug 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jill Elizabeth Dillon, M.A.,CCC-SLPNPI 1700325354

Title

Speech Language Pathologist/Owner

Phone

(989) 460-7365

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jill E Dillon, SLP

  • Speech-Language Pathologist
  • Traverse City, MI
  • NPI 1700325354
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1457183402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 HANNAH AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863327",
            "telephone_number": "989-460-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 S GARFIELD AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863430",
            "telephone_number": "989-460-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL DILLON NUFFER, SLP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-18",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "989-460-7365",
        "authorized_official_credential": "M.A.,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.