Jill Odle

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

11212 Issued in NC

Practice address

201 Shadow Mist CT
Apex, NC 27539-7779

Phone

(201) 779-9800

Fax

(201) 779-9800

NPI assigned

Jan 15, 2010

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

• Jill Servello Former name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Nova Southeastern College of Osteo Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Holly Springs Feeding & Speech

  • Speech-Language Pathologist
  • Holly Springs, NC
  • NPI 1366986937
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1780915629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SHADOW MIST CT",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275397779",
            "telephone_number": "201-779-9800",
            "fax_number": "201-779-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SHADOW MIST CT",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275397779",
            "telephone_number": "201-779-9800",
            "fax_number": "201-779-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODLE",
        "first_name": "JILL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-15",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "11212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "SERVELLO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Knight O'Donnell, RPH
• Timothy Patrick O'Hare II
• Marissa Jamie O'Leary
• Shannon O'Rawe, CTRS/LRT
• Catherine Mairead O'Reilly, LCSWA
• Kristen Lynn Ogden
• Steve E Oglesbee
• Omobolanle Opeoluwa Olagoke, FNP-C, PMHNP-C
• Olive Tree Weight Loss and Wellness, PLLC
• Karrieann Olley, BS

• Speech-Language Pathologist in Apex, NC
• Providers in Apex, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.