JILL K. SHACKELFORD CCC-SLP, NPI 1215086814
Speech-Language Pathologist in SYCAMORE, IL
Last Updated on : Nov 06,2013
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:
|
| 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:
|