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JESSICA SULLIVAN CCC-SLP
NPI 1710120308
Speech-Language Pathologist in Decatur, IL

Active since April 12, 2009
2300 N EDWARD ST, DECATUR, IL 62526(217) 876-2680(217) 876-2630 Get Directions Write a Review

NPPES record last updated: May 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Sullivan Ccc-slp NPPES

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

JESSICA SULLIVAN CCC-SLP (NPI 1710120308) is an individual speech-language pathologist provider in Decatur, Illinois, licensed in Illinois (146.015000) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1710120308
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJESSICA SULLIVANCredential: CCC-SLP
Location Address2300 N EDWARD STDecatur, IL 62526-4192
Mailing Address2300 N Edward StDecatur, IL 62526-4192 · (217) 876-2680 · Fax (217) 876-2630
Phone(217) 876-2680
Fax(217) 876-2630
Sole ProprietorYes
Enumeration DateApril 12, 2009
Last NPPES UpdateMay 9, 2022
NPPES CertifiedMay 9, 2022
✔ NPI 1710120308 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
Licenses✔ Licensed in IL · 146.015000✔ Licensed in KS · 2949✔ Licensed in MO · 2008023621
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.
2300 N EDWARD ST, Decatur, IL 62526
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Other Names 1

Former Name (1)Jessica Barton Ccc-slp

Other Providers at the Same Location NPPES 20

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

CULLEN WHICKER CRNA
Nurse Anesthetist, Certified Registered
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2575
MR. JASON GRAUER APRN
Nurse Practitioner (Family)
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-8121
DR. JEFFREY MARC BOORSTEIN MD
Radiology (Diagnostic Radiology)
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2300
PAUL GURLEY PA-C
Physician Assistant
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-3000
CHRISTINE W CUTLER MS RD LD/N
Dietitian, Registered
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2281
JACLYN NICOLE KLEMAN
Physical Therapist
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2600
BRITTNEY L JEFFERY CRNA
Nurse Anesthetist, Certified Registered
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2275
DR. DAVID JOSEPH EVELTI MD
Anesthesiology
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-8121

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 Jessica Sullivan's NPI number?

The NPI number for Jessica Sullivan is 1710120308. It was assigned to this individual provider in the NPPES registry on April 12, 2009. The provider is also known as Jessica Barton Ccc-Slp.

Where is Jessica Sullivan located?

Jessica Sullivan practices at 2300 N Edward St, Decatur, IL 62526. The listed phone number is (217) 876-2680.

What is Jessica Sullivan'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 Jessica Sullivan was last updated on May 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.