Jill Renae Lomonaco, M.S SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSLP5562 Issued in AZ

Practice address

16109 W Mohave St
Goodyear, AZ 85338-7951

Phone

(574) 903-1099

NPI assigned

Aug 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jill Renae Coleman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1679766539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16109 W MOHAVE ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853387951",
            "telephone_number": "574-903-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16109 W MOHAVE ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853387951",
            "telephone_number": "574-903-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMONACO",
        "first_name": "JILL",
        "middle_name": "RENAE",
        "name_prefix": "Ms.",
        "credential": "M.S SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP5562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "COLEMAN",
            "middle_name": "RENAE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Speech-Language Pathologist in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.

Verify at the official NPI Registry.