Individual provider Active NPI

Jill Glessner, M.H.S. CCC-SLP

  • Speech-Language Pathologist
  • West Chester, PA
National Provider Identifier
1508050006
Registry record updated Jul 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
01-0001122 Issued in DE
Practice address
200 Skiles Blvd
West Chester, PA 19382-7321
Phone
(800) 578-7906
NPI assigned
Aug 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2017

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2004024756 MO
Speech-Language Pathologist 235Z00000X SL009718 PA
Speech-Language Pathologist 235Z00000X 06114 MD
Speech-Language Pathologist 235Z00000X 41YS00615600 NJ
Speech-Language Pathologist 235Z00000X 01-0001122 DE Primary

Addresses

Primary practice location

200 Skiles Blvd
West Chester, PA 19382-7321

Mailing address

122 Greenhill Rd
West Chester, PA 19380-3910

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

State licenses

LicenseStateTypeSpecialty
01-0001122DEMDSpeech-Language Pathologist
06114MDMDSpeech-Language Pathologist
2004024756MOMDSpeech-Language Pathologist
41YS00615600NJMDSpeech-Language Pathologist
SL009718PAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500249600000",
    "number": "1508050006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 GREENHILL RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193803910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SKILES BLVD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193827321",
            "telephone_number": "800-578-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLESSNER",
        "first_name": "JILL",
        "credential": "M.H.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2017-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2004024756",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL009718",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "06114",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00615600",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DE",
            "license": "01-0001122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; 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.