Jillian Mare W. Chamberlain, M.A., SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL60011776 Issued in WA

Practice address

1215 W Lewis St
Pasco, WA 99301-5472

Phone

(509) 543-6700

Fax

(509) 543-6728

NPI assigned

Jun 27, 2007

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

• Miss Jillian M Waliezer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1497952279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70704 E 715 PR NE",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993527701",
            "telephone_number": "360-430-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 W LEWIS ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015472",
            "telephone_number": "509-543-6700",
            "fax_number": "509-543-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "JILLIAN",
        "middle_name": "MARE W.",
        "name_prefix": "Mrs.",
        "credential": "M.A., SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60011776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "WALIEZER",
            "middle_name": "M",
            "prefix": "MISS",
            "credential": "MA CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ramona Castro
• Rolando Llanes Cayetano, MD
• Erika A Cervantes, INTERPRETER
• Christina Maryee Cecil Chacon, ARNP PMHNP
• Julie Ann Chacon, M.ED.
• Sophia S Chang, M.D.
• Nora Jassel Chapa, MEDICAL INTERPRETER
• Gerardo Chapina
• Carhy Chapman
• John Jason Chastain, LICSW

• Speech-Language Pathologist in Pasco, WA
• Providers in Pasco, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.