Active NPI
Julie Campos
- Speech-Language Pathologist
- Saint Peters, MO
National Provider Identifier
1003331596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 600 First Executive Ave
Saint Peters, MO 63376-2578 - Phone
- (636) 477-2400
- NPI assigned
- Aug 7, 2017
- Last updated
- Aug 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
600 First Executive Ave
Saint Peters, MO 63376-2578
Mailing address
521 Fulton St
Cottleville, MO 63376-2860
Phone (636) 248-6724
Other names 1
- Julie Mooney
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502064000000",
"number": "1003331596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 FULTON ST",
"city": "COTTLEVILLE",
"state": "MO",
"postal_code": "633762860",
"telephone_number": "636-248-6724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 FIRST EXECUTIVE AVE",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633762578",
"telephone_number": "636-477-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPOS",
"first_name": "JULIE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-07",
"last_updated": "2017-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "MOONEY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.