Active NPI
Jodi Schilian, M.S., CCC-SLP
- Speech-Language Pathologist
- Charlotte, NC
National Provider Identifier
1992291314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 11570
- Practice address
- 11201 Livingston Mill Rd
Charlotte, NC 28273-4720 - Phone
- (704) 654-8599
- Fax
- (980) 938-6088
- NPI assigned
- Jul 9, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 11570 | NC | Primary |
Addresses
Primary practice location
11201 Livingston Mill Rd
Charlotte, NC 28273-4720
Mailing address
PO Box 38118
Charlotte, NC 28278-1001
Phone (704) 654-8599
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11570 | Other | NC | SLP LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11570 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Concierge Therapeutics, PLLC | Speech-Language Pathologist | Past | Accepting new patients |
| Orthocarolina | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Speech-Language Pathologist
- Charlotte, NC
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531094400000",
"number": "1992291314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 38118",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282781001",
"telephone_number": "704-654-8599",
"fax_number": "980-938-6088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11201 LIVINGSTON MILL RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282734720",
"telephone_number": "704-654-8599",
"fax_number": "980-938-6088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHILIAN",
"first_name": "JODI",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-09",
"last_updated": "2018-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "11570",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SLP LICENSE",
"identifier": "11570",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.