Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeannine Therese Wilmot, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1811105356

Jeannine Therese Wilmot, MSCCC-SLP is a Qualified Speech Language Pathologist in Las Vegas, Nevada. Qualified in 2005, 21 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
21
Licensed in
NV
In the registry since
2007

Practice location Address checks out

10161 Park Run Dr Ste 150
Las Vegas, NV 89145-8872
Phone: (702) 703-6408
Fax: (702) 664-6761
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SP-1000 (NV)

Record details

NPI number1811105356
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedMay 18, 2007
Last updated in NPPESApril 10, 2023
Certification dateApril 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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