Jill Juliet Imsand Chumbley, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-SP-TMP-4100 Issued in MT

Practice address

612 E Main St
#C
Bozeman, MT 59715-3719

Phone

(406) 522-3722

NPI assigned

Aug 16, 2014

Last updated

Aug 16, 2014By the provider in NPPES

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)

Not enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Epicenter Therapy Services PLLC

  • Occupational Therapy Assistant
  • Bozeman, MT
  • NPI 1164551222

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1408147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408147200000",
    "number": "1497154348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 E MAIN ST",
            "address_2": "#C",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153719",
            "telephone_number": "406-522-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 E MAIN ST",
            "address_2": "#C",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153719",
            "telephone_number": "406-522-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMSAND CHUMBLEY",
        "first_name": "JILL",
        "middle_name": "JULIET",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-16",
        "last_updated": "2014-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "SLP-SP-TMP-4100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Speech-Language Pathologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2014; 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.