Individual provider Active NPI

Jill Hulett, MS CCC-SLP

  • Speech-Language Pathologist
  • Broadalbin, NY
National Provider Identifier
1497996979
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
014687 Issued in NY
Practice address
401 Ridge Rd
Broadalbin, NY 12025-2070
Phone
(518) 774-5915
NPI assigned
Mar 13, 2009
Last updated
Apr 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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 014687 NY Primary

Addresses

Primary practice location

401 Ridge Rd
Broadalbin, NY 12025-2070

Mailing address

401 Ridge Rd
Broadalbin, NY 12025-2070
Phone (518) 774-5915

Other practice location 1

211 Fifth Street
Northville, NY 12134
Phone (518) 863-4850

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
014687NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1497996979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 RIDGE RD",
            "city": "BROADALBIN",
            "state": "NY",
            "postal_code": "120252070",
            "telephone_number": "518-774-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 RIDGE RD",
            "city": "BROADALBIN",
            "state": "NY",
            "postal_code": "120252070",
            "telephone_number": "518-774-5915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Fifth Street",
            "address_purpose": "LOCATION",
            "city": "Northville",
            "state": "NY",
            "postal_code": "12134",
            "country_code": "US",
            "telephone_number": "518-863-4850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULETT",
        "first_name": "JILL",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-13",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "014687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadalbin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.