Jill Nicole Basham, SLP - Speech-Language Pathologist in Flagstaff, AZ

Jill Nicole Basham, SLP is a Speech-language Pathologist based in Flagstaff, Arizona. Jill Nicole Basham is licensed to practice in Arizona (license number SLP7396) and her current practice location is 1200 N Beaver St, Flagstaff, Arizona. She can be reached at her office (for appointments etc.) via phone at (602) 628-8597.

NPI number for Jill Nicole Basham is 1033456736 and her current mailing address is 1200 N Beaver St, Flagstaff, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033456736.

Contact Information

Jill Nicole Basham, SLP
1200 N Beaver St,
Flagstaff, AZ 86001-3118
(602) 628-8597
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJill Nicole Basham
GenderFemale
SpecialitySpeech-language Pathologist
Location1200 N Beaver St, Flagstaff, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033456736
  • Provider Enumeration Date: 01/15/2013
  • Last Update Date: 01/15/2013

Medical Identifiers

Medical identifiers for Jill Nicole Basham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033456736NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist SLP7396 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jill Nicole Basham is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jill Nicole Basham, SLP
1200 N Beaver St,
Flagstaff, AZ 86001-3118

Ph: (602) 628-8597
Jill Nicole Basham, SLP
1200 N Beaver St,
Flagstaff, AZ 86001-3118

Ph: (602) 628-8597

Reviews and Comments


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