Active NPI
Jill Williamson
- Speech-Language Pathologist
- Richland, WA
National Provider Identifier
1538403464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL60301415
- Practice address
- 615 Snow Ave
Richland, WA 99352-3851 - Phone
- (509) 967-6308
- NPI assigned
- Nov 15, 2012
- Last updated
- Nov 15, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | LL60301415 | WA | Primary |
Addresses
Primary practice location
615 Snow Ave
Richland, WA 99352-3851
Mailing address
5602 Kenra Loop
West Richland, WA 99353-6066
Phone (509) 627-0216
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LL60301415 | Other | WA | WASHINGTON STATE DEPT. OF HEALTH SPEECH LANGUAGE PAHTOLOGIST LICENSES |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LL60301415 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1538403464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5602 KENRA LOOP",
"city": "WEST RICHLAND",
"state": "WA",
"postal_code": "993536066",
"telephone_number": "509-627-0216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 SNOW AVE",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993523851",
"telephone_number": "509-967-6308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "JILL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-15",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL60301415",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE DEPT. OF HEALTH SPEECH LANGUAGE PAHTOLOGIST LICENSES",
"identifier": "LL60301415",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.