Individual provider Active NPI

Jill A Bailey, MS, CCC-SLP

  • Speech-Language Pathologist
  • Colorado Springs, CO
National Provider Identifier
1780455808
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
287087 Issued in CO
Practice address
1110 Chapel Hills Dr
Colorado Springs, CO 80920-3923
Phone
(719) 234-5660
NPI assigned
Jan 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLP.0003755 CO
Speech-Language Pathologist 235Z00000X 287087 CO Primary

Addresses

Primary practice location

1110 Chapel Hills Dr
Colorado Springs, CO 80920-3923

Mailing address

11142 Fossil Dust Dr
Colorado Springs, CO 80908-5267
Phone (719) 637-0797

Other practice location 1

11142 Fossil Dust Dr
Colorado Springs, CO 80908-5267
Phone (719) 637-0797

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP.0003755COMDSpeech-Language Assistant
287087COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
County of El Paso School District 20 CurrentSince Jan 14, 2024 Accepting new patients

Locations

1110 Chapel Hills Dr
Colorado Springs, CO 80920
Phone (719) 234-1200

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": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1780455808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11142 FOSSIL DUST DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809085267",
            "telephone_number": "719-637-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 CHAPEL HILLS DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203923",
            "telephone_number": "719-234-5660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11142 Fossil Dust Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809085267",
            "country_code": "US",
            "telephone_number": "719-637-0797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "JILL",
        "middle_name": "A",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CO",
            "license": "SLP.0003755",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "287087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.