Jillian Egnaczyk, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

025127-1 Issued in NY

Practice address

2995 Curry Rd
Schenectady, NY 12303-2801

Phone

(518) 836-2247

NPI assigned

Nov 4, 2015

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

Other names 1

• Jillian Sorensen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1568835247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 CURRY RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123032801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 CURRY RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123032801",
            "telephone_number": "518-836-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGNACZYK",
        "first_name": "JILLIAN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-04",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "025127-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "SORENSEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carrie I Edick, NPP
• Karen Edwards-D'Alessandro, LCSW-R
• Natacha Nattoray Edwards, FNP
• Norda Bevon Edwards, FNP
• Ellen S Egger-Aimone, LMSW
• Edward A Ehrlich, OD
• Kirsten Eidle-Barkman, PSY.D.
• Lawrence B Eisenberg, M.D.
• Neil Ekengren, PA
• Ibtissam Elboukhari, LMSW

• Speech-Language Pathologist in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.