Individual provider Active NPI

Jill V Durkee, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Austin, TX
National Provider Identifier
1497237010
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
11917 Issued in TX
Practice address
2300 Barton Creek Blvd Apt 19
Austin, TX 78735-1685
Phone
(512) 658-1528
NPI assigned
Aug 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 11917 TX Primary

Addresses

Primary practice location

2300 Barton Creek Blvd Apt 19
Austin, TX 78735-1685

Mailing address

2300 Barton Creek Blvd Apt 19
Austin, TX 78735-1685
Phone (512) 658-1528

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
11917TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1497237010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 BARTON CREEK BLVD APT 19",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787351685",
            "telephone_number": "512-658-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 BARTON CREEK BLVD APT 19",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787351685",
            "telephone_number": "512-658-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURKEE",
        "first_name": "JILL",
        "middle_name": "V",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "11917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.