NPIMap

Organization Active NPI

Jill Tullman & Associates, LLC

  • Speech-Language Pathologist
  • Centennial, CO
National Provider Identifier
1902067812
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
JILL TULLMAN & ASSOCIATES, LLC
Practice address
9137 E Mineral Cir Ste 120
Centennial, CO 80112-3422
Phone
(303) 284-4021
NPI assigned
Jun 23, 2008
Last updated
Jul 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Jill Tullman, MS, CCC-SLPNPI 1972511038
Title
Owner
Phone
(303) 641-1285

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

9137 E Mineral Cir Ste 120
Centennial, CO 80112-3422

Mailing address

9137 E Mineral Cir Ste 120
Centennial, CO 80112-3422
Phone (303) 284-4021

Other practice location 1

8030 E Cedar Ave
Denver, CO 80230-6774
Phone (303) 641-1285

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220207000485 CO Part B Supplier - Clinic/Group Practice 4587057021 Receives reassigned benefits from 2 practitioners
Practice locations: Centennial, CO

National Provider Directory

National Provider Directory
Tax ID family
Jill Tullman Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6866 S Yosemite St
Centennial, CO 80112

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1902067812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9137 E MINERAL CIR STE 120",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123422",
            "telephone_number": "303-284-4021",
            "fax_number": "303-302-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9137 E MINERAL CIR STE 120",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123422",
            "telephone_number": "303-284-4021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8030 E Cedar Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802306774",
            "country_code": "US",
            "telephone_number": "303-641-1285",
            "fax_number": "303-340-3366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JILL TULLMAN & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "TULLMAN",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-641-1285",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.