Individual provider Active NPI

Jillian Rose Yaw Ching

  • Speech-Language Pathologist
  • Sunrise, FL
National Provider Identifier
1851639256
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA12756 Issued in FL
Practice address
1381 NW 129TH Way
Sunrise, FL 33323-2979
Phone
(954) 258-3611
NPI assigned
Jan 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ6128 FL
Speech-Language Pathologist 235Z00000X SA12756 FL Primary

Addresses

Primary practice location

1381 NW 129TH Way
Sunrise, FL 33323-2979

Mailing address

1381 NW 129TH Way
Sunrise, FL 33323-2979
Phone (954) 258-3611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220322001594 FL Practitioner - Qualified Speech Language Pathologist 8426443813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
72.47 of 100Reported as group
Quality
62.45
Improvement activities
40
Cost
73.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA12756FLMDSpeech-Language Pathologist
SZ6128FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Southeastern University, Inc Current Accepting new patients
Nova Southeastern University Speech-Language Pathologist CurrentSince Mar 16, 2022 Accepting new patients
Nova Southeastern University Inc. CurrentSince Mar 16, 2022 Accepting new patients
Nova Southeastern University, Inc Past Accepting new patients
Nova Southeastern University, Inc Past Accepting new patients

Locations

7600 SW 36th St
Bldg 100
Davie, FL 33328
Phone (954) 262-3743

6100 Griffin Rd
Davie, FL 33314
Phone (954) 262-7726

650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213

1750 NE 167th St
North Miami Beach, FL 33162
Phone (305) 949-4000

Organizations & group practices 5

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": "1358726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1851639256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 NW 129TH WAY",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232979",
            "telephone_number": "954-258-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 NW 129TH WAY",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232979",
            "telephone_number": "954-258-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAW CHING",
        "first_name": "JILLIAN",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-21",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ6128",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA12756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.