Jill Elaine Fanelli, M.A, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

103548 Issued in TX

Practice address

3051 Ira E Woods Ave
Grapevine, TX 76051-3817

Phone

(817) 251-5200

NPI assigned

Jul 27, 2009

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 Arts

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1497985329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 RIVER BIRCH DR",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 IRA E WOODS AVE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513817",
            "telephone_number": "817-251-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANELLI",
        "first_name": "JILL",
        "middle_name": "ELAINE",
        "credential": "M.A, CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "103548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fair Acres Emergency Physicians, PLLC
• Noah Falls, DDS
• Karen Falterer, LCSW
• Family Health of Grapevine, PA
• Holly Lorraine Fancher, LCSW
• Kara Charlotte Farley
• Nancy K. Farrar, P.A.
• Alexa Farrell, HIS
• Alysse Marie Fawcett, LMFT
• Cameron Fazeli, DO

• Speech-Language Pathologist in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.