JILL WIDEM
NPI 1083167993
Speech-Language Pathologist in Johns Creek, GA

Q: What is Jill Widem's NPI number?

The NPI number for Jill Widem is 1083167993. It was assigned to this individual provider in the NPPES registry on July 27, 2016. The provider is also known as Jill Katherine Amundson M.S.,.

Q: What is Jill Widem's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jill Widem was last updated on July 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.

Active since July 27, 2016

775 ELLSBOROUGH CT, JOHNS CREEK, GA 30005(404) 518-0944 Get Directions Write a Review

NPPES record last updated: July 27, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Jill Widem NPPES

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

JILL WIDEM (NPI 1083167993) is an individual speech-language pathologist provider in Johns Creek, Georgia, licensed in Georgia (SLP007721) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1083167993

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameJILL WIDEM

Location Address775 ELLSBOROUGH CTJohns Creek, GA 30005-2575

Mailing Address775 Ellsborough CtJohns Creek, GA 30005-2575 · (404) 518-0944

Phone(404) 518-0944

Sole ProprietorYes

Enumeration DateJuly 27, 2016

✔ NPI 1083167993 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 GA · SLP007721

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.

775 ELLSBOROUGH CT, Johns Creek, GA 30005

Open in Google Maps ↗

Other Names 1

Former Name (1)Jill Katherine Amundson M.s.,

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 Jill Widem's NPI number?

The NPI number for Jill Widem is 1083167993. It was assigned to this individual provider in the NPPES registry on July 27, 2016. The provider is also known as Jill Katherine Amundson M.S.,.

Where is Jill Widem located?

Jill Widem practices at 775 Ellsborough Ct, Johns Creek, GA 30005. The listed phone number is (404) 518-0944.

What is Jill Widem's specialty?

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

When was this NPI record last updated?

The NPPES record for Jill Widem was last updated on July 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.