Jillian Enrique

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SPA5580 Issued in CA

Practice address

250 W 1St St Ste 336
Claremont, CA 91711-4745

Phone

(909) 675-7022

NPI assigned

Jun 4, 2024

Last updated

Jun 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Simple Speech Therapy, Inc.

  • Hearing and Speech Clinic/Center
  • Claremont, CA
  • NPI 1972211670
  NPD

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1932940806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W 1ST ST STE 336",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114745",
            "telephone_number": "909-675-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W 1ST ST STE 336",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114745",
            "telephone_number": "909-675-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIQUE",
        "first_name": "JILLIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "SPA5580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ecoterra Holistic Pharmacy
• Edge Physical Therapy
• Javier Emmanuel Elias, LMFT
• Monica U. Ellis-Blied, PHD
• Cheyenne Emery
• Reina Espinoza, RN
• Joey A Estella, M.A., LMFT
• Lydia Elias Estephan
• Nessa Eugene, MS SLP
• Exercising Enterprises

• Speech-Language Assistant in Claremont, CA
• Providers in Claremont, CA by specialty
• Speech-Language Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.