Jill Sudy Garvin

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

007287 Issued in NY

Practice address

193 Huxley Dr
Amherst, NY 14226-4815

Phone

(716) 839-9278

NPI assigned

Oct 17, 2008

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

• Miss Jill Beth Sudy 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": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224201600000",
    "number": "1740432004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 HUXLEY DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264815",
            "telephone_number": "716-839-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 HUXLEY DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264815",
            "telephone_number": "716-839-9278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARVIN",
        "first_name": "JILL",
        "middle_name": "SUDY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2008-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "007287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "SUDY",
            "middle_name": "BETH",
            "prefix": "MISS",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Gangl, LMHC
• Reza Garajehdaghi
• Laporscha Youvnne Gardner, FNP
• Jean Marie Gargala, LCSW-R
• James Richard Garrity, R.N.
• Mary Gatchell, LMHC-P
• Erin May Gatta
• Gba Med Trans LLC
• Cheryl Geartz
• Elizabeth Geary, LSCW

• Speech-Language Pathologist in Amherst, NY
• Providers in Amherst, 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 Oct 17, 2008; 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.