JILLIAN RUDOLPH M.S. CCC-SLP
NPI 1033093836
Speech-Language Pathologist in North Dartmouth, MA

Active since August 04, 2025Accepts Medicare Assignment
49 STATE ROAD, WATUPPA BUILDING, SUITE 104-105, NORTH DARTMOUTH, MA 02747(508) 985-1996 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2025, Aug 4, 2025 (2 updates tracked since 2025).

About Jillian Rudolph M.s. Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JILLIAN RUDOLPH M.S. CCC-SLP (NPI 1033093836) is an individual speech-language pathologist provider in North Dartmouth, Massachusetts, licensed in Massachusetts (SLP101224) and active in the NPI registry since August 2025. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1033093836
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJILLIAN RUDOLPHCredential: M.S. CCC-SLP
Location Address49 STATE ROAD, WATUPPA BUILDING, SUITE 104-105North Dartmouth, MA 02747
Mailing Address21 Simmons StNewport, RI 02840-3923 · (631) 991-1405
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 4, 2025
Last NPPES UpdateAugust 11, 20252 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
NPI 1033093836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in MA · SLP101224
Definition
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.
49 STATE ROAD, North Dartmouth, MA 02747

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jillian Rudolph M.s. Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608375191
PECOS Enrollment IDI20250820002306

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
49 STATE ROAD, NAUSET BUILDING, UNIT 104 C
DARTMOUTH, MA 02747
Dentist
49 STATE ROAD, SUITE 101 NAUSET BLDG
DARTMOUTH, MA 02747
Speech-Language Pathologist
49 STATE ROAD, WATUPPA BLDG SUITE 105
NORTH DARTMOUTH, MA 02747
Allergy & Immunology
49 STATE ROAD, WATUPPA BUILDING SUITE 203
NORTH DARTMOUTH, MA 02747
Pediatrics
49 STATE ROAD, NAUSET BLDG, SUITE 202
NORTH DARTMOUTH, MA 02747
Nurse Practitioner (Pediatrics)
49 STATE ROAD, NAUSET BLDG, SUITE 202
NORTH DARTMOUTH, MA 02747
Allergy & Immunology
49 STATE ROAD, WATUPPA BUILDING SUITE 203
NORTH DARTMOUTH, MA 02747
Speech-Language Pathologist
49 STATE ROAD, WATUPPA BLDG SUITE 104-105
NORTH DARTMOUTH, MA 02747

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jillian Rudolph's NPI number?

The NPI number for Jillian Rudolph is 1033093836. It was assigned to this individual provider in the NPPES registry on August 4, 2025.

Where is Jillian Rudolph located?

Jillian Rudolph practices at 49 State Road Watuppa Building, Suite 104-105, North Dartmouth, MA 02747. The listed phone number is (508) 985-1996.

What is Jillian Rudolph's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Jillian Rudolph enrolled in Medicare?

Yes. Jillian Rudolph is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jillian Rudolph was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.