Active NPI
Jill Shook, MS, CCC-SLP
- Speech-Language Pathologist
- Bainbridge, PA
National Provider Identifier
1487918652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL011918
- Practice address
- 1406 Amosite Rd
Bainbridge, PA 17502-9596 - Phone
- (717) 341-7081
- NPI assigned
- Jul 2, 2012
- 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 | SL011918 | PA | Primary |
Addresses
Primary practice location
1406 Amosite Rd
Bainbridge, PA 17502-9596
Mailing address
1406 Amosite Rd
Bainbridge, PA 17502-9596
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SL011918 | Other | PA | PENNSYLVANIA |
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)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1487918652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1406 AMOSITE RD",
"city": "BAINBRIDGE",
"state": "PA",
"postal_code": "175029596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1406 AMOSITE RD",
"city": "BAINBRIDGE",
"state": "PA",
"postal_code": "175029596",
"telephone_number": "717-341-7081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOOK",
"first_name": "JILL",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-02",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL011918",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENNSYLVANIA",
"identifier": "SL011918",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bainbridge, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.