Active NPI
Jill Ann Emeson, SLP
- Speech-Language Pathologist
- Lakewood, CO
National Provider Identifier
1568675767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0000779
- Practice address
- 11177 West 8TH Avenue
Lakewood, CO 80215-5520 - Phone
- (303) 462-6509
- NPI assigned
- May 7, 2007
- 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 | 0000779 | CO | Primary |
Addresses
Primary practice location
11177 West 8TH Avenue
Lakewood, CO 80215-5520
Mailing address
11177 West 8TH Avenue
Lakewood, CO 80215-5520
Phone (303) 462-6509
Other practice location 1
6595 S Dayton St
Suite 1500
Greenwood Village, CO 80111-6128
Phone (303) 504-9945
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29577039 | Medicaid | CO | |
| 649046 | Other | CO | ANTHEM |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000779 | CO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance of Therapy Specialists, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Greenwood Village, CO
- NPI 1780645390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1568675767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11177 WEST 8TH AVENUE",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802155520",
"telephone_number": "303-462-6509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11177 WEST 8TH AVENUE",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802155520",
"telephone_number": "303-462-6509"
}
],
"practiceLocations": [
{
"address_1": "6595 S Dayton St",
"address_2": "SUITE 1500",
"address_purpose": "LOCATION",
"city": "Greenwood Village",
"state": "CO",
"postal_code": "801116128",
"country_code": "US",
"telephone_number": "303-504-9945",
"fax_number": "303-504-9946",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EMESON",
"first_name": "JILL",
"middle_name": "ANN",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "0000779",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "29577039",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "649046",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.