JILLIAN TANNER (NPI# 1366990228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366990228 |
| Entity Type | Individual |
| Full Name | JILLIAN TANNER |
| Practice Address |
1485 Saratoga Ave Suite 200 San Jose CA 95129-4965 |
| Practice Telephone | 8779910009 |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | CF-RPE 10667 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
1485 SARATOGA AVE SUITE 200 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95129-4965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902225865 | Rae Ditty | Behavioral Analyst | 1485 Saratoga Ave, Suite 200, San Jose, CA 95129-4965 | 2014-04-08 |
| 1659985752 | Alexzandra Benefield Puckett | Behavior Technician | 1485 Saratoga Ave, San Jose, CA 95129-4965 | 2020-09-04 |
| 1558988147 | Aaron Alejandro Lopez | Behavior Technician | 1485 Saratoga Ave, San Jose, CA 95129-4965 | 2020-06-29 |
| 1093332686 | Daisy Martinez Flores | Behavior Technician | 1485 Saratoga Ave, San Jose, CA 95129-4965 | 2020-06-29 |
| 1720605314 | Jessica Wang Lui | Behavior Technician | 1485 Saratoga Ave, San Jose, CA 95129-4965 | 2020-06-29 |
| 1457978041 | Guadalue Veronica Castellanos | Behavior Technician | 1485 Saratoga Ave, San Jose, CA 95129-4965 | 2020-06-29 |
| 1073130662 | Evette Ramirez Espana | Behavior Technician | 1485 Saratoga Ave, San Jose, CA 95129-4965 | 2020-06-29 |
| 1083231674 | Timothy Philip Villa-real | Behavior Technician | 1485 Saratoga Ave, San Jose, CA 95129-4965 | 2020-06-29 |
| 1699223545 | Amy Keezer | Marriage & Family Therapist | 1485 Saratoga Ave, Suite 200, San Jose, CA 95129-4965 | 2016-09-20 |
| 1942758800 | Mahta Shokouhbakhsh | Speech-Language Pathologist | 1485 Saratoga Ave, Suite 200, San Jose, CA 95129-4965 | 2016-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528535176 | Sunlife Acupuncture Health Center Inc. | Acupuncturist | 6172 Bollinger Rd., San Jose, CA 95129 | 2018-10-31 |
| 1710472642 | Shen Zhang | Acupuncturist | 1072 S De Anza Blvd Ste A108, San Jose, CA 95129 | 2018-06-23 |
| 1023531217 | Rachana Vyas Dds Inc | Clinic/Center | 1002 S Deanza Blvd, #d, San Jose, CA 95129 | 2017-07-20 |
| 1477908119 | Emily O. Perrotta | Marriage & Family Therapist | 1745 Saratoga Ave #204, San Jose, CA 95129 | 2016-05-02 |
| 1306214325 | Amanda Montgomery | Psychologist | 4300 Stevens Creek Blvd Ste 260, San Jose, CA 95129 | 2015-09-08 |
| 1891065686 | Bobbie Edwards | Behavioral Analyst | 1479 Saratoga Ave, San Jose, CA 95129 | 2012-01-10 |
| 1659640753 | Gail Elizabeth Nabarrete | Social Worker | 780 Saratoga Ave, S310, San Jose, CA 95129 | 2011-12-19 |
| 1891063574 | Elizabeth Duell | Dentist | 4635 Piper Drive, San Jose, CA 95129 | 2011-12-08 |
| 1033486519 | Stephanie Truvonne Hawkins | Family Medicine | 9292 De Anza Blvd, Suite 101, San Jose, CA 95129 | 2011-11-28 |
| 1568607828 | Irina Vaynshteyn | Dentist | 1888 Saratoga Ave Ste 102, San Jose, CA 95129 | 2008-12-15 |
| Find all providers in zip 95129 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144829433 | Anne Mathew | Speech-Language Pathologist | 2262 N 1st St, San Jose, CA 95131-2022 | 2020-10-19 |
| 1508464058 | Laurel Nakanishi | Speech-Language Pathologist | 6920 Santa Teresa Blvd Ste 101, San Jose, CA 95119-1344 | 2020-10-15 |
| 1013541952 | Maria Momin | Speech-Language Pathologist | 1033 S Daniel Way, San Jose, CA 95128-3124 | 2020-03-01 |
| 1619517661 | Anne Galiani | Speech-Language Pathologist | 760 N 7th St Apt 5207, San Jose, CA 95112-5044 | 2020-01-07 |
| 1538703749 | Kathy Holzhauer | Speech-Language Pathologist | 5828 Chesbro Ave, San Jose, CA 95123-3913 | 2019-10-30 |
| 1255980355 | Tiffany Chen | Speech-Language Pathologist | 950 Saint Elizabeth Dr, San Jose, CA 95126-3900 | 2019-09-10 |
| 1528611829 | Carnie M Tran | Speech-Language Pathologist | 107 Felice Ct, San Jose, CA 95138-1900 | 2019-07-17 |
| 1508424706 | Nicole Cavalea | Speech-Language Pathologist | 5948 Vista Loop, San Jose, CA 95124-6562 | 2019-06-03 |
| 1326604414 | Gurpreet Mandair | Speech-Language Pathologist | 615 N 17th St, San Jose, CA 95112-3029 | 2019-05-14 |
| 1144782178 | Catherine Anne Palumbo | Speech-Language Pathologist | 1644 Creek Dr, San Jose, CA 95125-1837 | 2019-03-31 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.