Individual provider Active NPI

Julia Rae Brewer

  • Speech-Language Pathologist
  • Parkersburg, IA
National Provider Identifier
1003547605
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
115004 Issued in IA
Practice address
1306 Highway 57 Ste B
Parkersburg, IA 50665-1075
Phone
(319) 346-9783
NPI assigned
Jun 23, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230629002035 IA Practitioner - Qualified Speech Language Pathologist 6800255407 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
115004IAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Physical Therapy Associates LLC Current Accepting new patients
Taylor Physical Therapy Associates LLC Speech-Language Pathologist CurrentSince Jun 15, 2023 Accepting new patients

Locations

121 Tower St
Denver, IA 50622
Phone (319) 406-0185

1306 Highway 57
Ste B
Parkersburg, IA 50665
Phone (319) 346-9783

1014 W 1st St
Sumner, IA 50674
Phone (563) 578-5125

1203 W Bremer Ave
Waverly, IA 50677
Phone (319) 559-2442

1661 3rd St SW
Waverly, IA 50677
Phone (319) 483-1375

100 Wartburg Blvd
Ste 1392
Waverly, IA 50677
Phone (319) 346-9783

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 115004 IA Primary

Addresses

NPPES NPI Registry

Primary practice location

1306 Highway 57 Ste B
Parkersburg, IA 50665-1075

Mailing address

1306 Highway 57 Ste B
Parkersburg, IA 50665-1075

Other practice location 1

312 9th St SW
Waverly, IA 50677-2929
Phone (319) 352-5644

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 23, 2022.

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1003547605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 HIGHWAY 57 STE B",
            "city": "PARKERSBURG",
            "state": "IA",
            "postal_code": "506651075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 HIGHWAY 57 STE B",
            "city": "PARKERSBURG",
            "state": "IA",
            "postal_code": "506651075",
            "telephone_number": "319-346-9783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 9th St SW",
            "address_purpose": "LOCATION",
            "city": "Waverly",
            "state": "IA",
            "postal_code": "506772929",
            "country_code": "US",
            "telephone_number": "319-352-5644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREWER",
        "first_name": "JULIA",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "115004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.