Individual provider Active NPI

Jillian Seymour

  • Speech-Language Pathologist
  • South Burlington, VT
National Provider Identifier
1720787500
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
110 Kimball Ave
South Burlington, VT 05403-6833
Phone
(800) 679-3609
NPI assigned
Mar 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

110 Kimball Ave
South Burlington, VT 05403-6833

Mailing address

535 8TH Ave FL 9
New York, NY 10018-2486
Phone (800) 679-3609

Other practice location 1

5 Lemnah Dr
Saint Albans, VT 05478-2382
Phone (800) 679-3609

Other practice location 2

194 Pleasant St
Concord, NH 03301-2952
Phone (800) 679-3609

Other practice location 3

2299 Woodbury Ave
Newington, NH 03801-7854
Phone (800) 679-3609

Other practice location 4

2 Commerce Dr
Bedford, NH 03110-6803
Phone (800) 679-3609

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

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Bridges LLC Speech-Language Pathologist PastSince Jan 29, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1720787500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 8TH AVE FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100182486",
            "telephone_number": "800-679-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 KIMBALL AVE",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036833",
            "telephone_number": "800-679-3609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Lemnah Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Albans",
            "state": "VT",
            "postal_code": "054782382",
            "country_code": "US",
            "telephone_number": "800-679-3609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "194 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033012952",
            "country_code": "US",
            "telephone_number": "800-679-3609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2299 Woodbury Ave",
            "address_purpose": "LOCATION",
            "city": "Newington",
            "state": "NH",
            "postal_code": "038017854",
            "country_code": "US",
            "telephone_number": "800-679-3609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Commerce Dr",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "NH",
            "postal_code": "031106803",
            "country_code": "US",
            "telephone_number": "800-679-3609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEYMOUR",
        "first_name": "JILLIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.