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JILL K. SHACKELFORD CCC-SLP, NPI 1215086814

Speech-Language Pathologist in SYCAMORE, IL

Last Updated on : Nov 06,2013

JILL K. SHACKELFORD CCC-SLP, NPI 1215086814

About JILL K. SHACKELFORD (NPI 1215086814)


JILL K. SHACKELFORD is a Speech-Language Pathologist provider in SYCAMORE, United States. Her medical specialization is Speech-Language Pathologist with a focus in .

1215086814 is NPI number of JILL K. SHACKELFORD.

JILL K. SHACKELFORD's primary taxonomy code based on NPI Lookup is 235Z00000X with license number 146006263. This taxonomy code refers to Speech-Language Pathologist.

JILL K. SHACKELFORD has more than 15 years of experience.

JILL K. SHACKELFORD current practice location address is 638 S CROSS ST, SYCAMORE, IL. JILL K. SHACKELFORD can be reached out via phone at 630-444-0077 and via fax at 630-444-0078 .

You can also correspond with JILL K. SHACKELFORD through mail at mailing address 40W310 LAFOX RD, ST CHARLES, IL, United States. Mailing address contact number is 630-444-0077.

The enumeration date of JILL K. SHACKELFORD is 10-Jan-2007. The provider is registered as an Individual and the NPI record was last updated 10 years ago.

1215086814 NPI Information

Basic NPI information of JILL K. SHACKELFORD (NPI 1215086814) is provided below.

Name JILL K. SHACKELFORD
National Provider Id (NPI) 1215086814
Entity Type Individual
Gender F
Credential CCC-SLP
Practice Address 638 S CROSS ST,
SYCAMORE, IL, United States
Practice Telephone 630-444-0077
Practice Fax Number 630-444-0078
Mailing Address 40W310 LAFOX RD , SUITE 1A
ST CHARLES, IL, United States
Mailing Telephone 630-444-0077
Mailing Fax Number 630-444-0078
Enumeration Date 10-Jan-2007
Last Updated Date 06-Nov-2013

JILL K. SHACKELFORD (NPI 1215086814) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 235Z00000X Speech-Language Pathologist, 146006263 IL

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
F400099172 MEDICARE PIN (08) IL

JILL K. SHACKELFORD (NPI 1215086814) Office Location

Office location of JILL K. SHACKELFORD is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1043509078 JONATHAN CHRIS NESMITH Pharmacist 1144 QUAIL RUN RD,
SYCAMORE, GA, United States
30-Mar-2011
1841711272 ANDREW KICKLIGHTER Dentist 2122 BETHEL RD,
SYCAMORE, GA, United States
07-Jul-2017
1902964935 WILLIAM C BYRD OF TURNER INC Assisted Living Facility PO BOX 890,
TIFTON, GA, United States
04-Dec-2006
1811055841 WILLIAM C BYRD OF TURNER INC Assisted Living Facility PO BOX 890,
TIFTON, GA, United States
04-Dec-2006
1558439752 WILLIAM C BYRD OF TURNER INC Assisted Living Facility PO BOX 890,
TIFTON, GA, United States
04-Dec-2006
1548328578 WILLIAM C BYRD OF TURNER INC Assisted Living Facility PO BOX 890,
TIFTON, GA, United States
04-Dec-2006
1780221283 LYDIA LEE KINGRY Student in an Organized Health Care Education/Training Program 3490 DENHAM RD,
SYCAMORE, GA, United States
03-Dec-2019
1962564112 CAROLE RAY Pharmacist 400 HIGHWAY 32, P.O. BOX 64
SYCAMORE, GA, United States
14-Dec-2006
1316520398 ROBIN LYNELLE ALLIGOOD Nurse Practitioner, Family 532 LAKEVIEW DR,
SYCAMORE, GA, United States
28-Apr-2021
1376290445 KERRIE REYNOLDS Nurse Practitioner, Primary Care 3321 CARTER RD,
SYCAMORE, GA, United States
08-Mar-2022
1447317383 AMANDA R POLLNOW Specialist/Technologist, Athletic Trainer 2111 MIDLANDS CT, SUITE 100
SYCAMORE, IL, United States
02-Jan-2007
1932257110 STACIE NICHOLE WOODWORTH Specialist/Technologist, Athletic Trainer 315 W CHESTER DR,
MAPLE PARK, IL, United States
06-Jan-2007
1053596221 SHARON LYNN ZAHLMAN Occupational Therapist 2111 MIDLANDS CT,
SYCAMORE, IL, United States
07-Jan-2008
1790022085 JOLENE F. CURTIS Social Worker, Clinical 2225 GATEWAY DR, SUITE B
SYCAMORE, IL, United States
07-Jan-2013
1285170803 LAMIE CEDILLO Early Intervention Provider Agency 317 TERRACE DR,
SYCAMORE, IL, United States
07-Jan-2017
1770632929 WILLIAM ANDERSON Registered Nurse PO BOX 474,
SYCAMORE, IL, United States
09-Jan-2007
1578009916 RACHEL RAUPP Speech-Language Pathologist, 126 W ELM ST,
SYCAMORE, IL, United States
09-Jan-2017
1215086814 JILL K. SHACKELFORD Speech-Language Pathologist, 638 S CROSS ST,
SYCAMORE, IL, United States
10-Jan-2007
1548315344 DEKALB COUNTY FINANCE OFFICE ADMINISTRATION BUILDING Public Health or Welfare 200 N. MAIN STREET,
SYCAMORE, IL, United States
24-Jan-2007
1649636200 STACEY LYNN RODRIGUEZ Counselor, Mental Health 728 ANJALI CT,
SYCAMORE, IL, United States
12-Jan-2016

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1215086814?

1215086814 is the NPI number of JILL K. SHACKELFORD.

What is the specialty for JILL K. SHACKELFORD?

The Specialty of JILL K. SHACKELFORD is Speech-Language Pathologist.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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