Individual provider Active NPI

Julie Foley Watts, MS CCC-SLP

  • Speech-Language Pathologist
  • Jacksonville, FL
National Provider Identifier
1013998988
Registry record updated Sep 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA4027 Issued in FL
Practice address
8777 San Jose Blvd Ste 701
Jacksonville, FL 32217-4292
Phone
(904) 733-8255
Fax
(904) 733-5034
NPI assigned
Nov 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X N/A FL
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X SA4027 FL Primary

Addresses

Primary practice location

8777 San Jose Blvd Ste 701
Jacksonville, FL 32217-4292

Mailing address

8777 San Jose Blvd Ste 701
Jacksonville, FL 32217-4292
Phone (904) 733-8255

Other practice location 1

248 Southpark Cir E
St Augustine, FL 32086-5137
Phone (904) 733-8255

Other identifiers 2

IdentifierTypeStateIssuer
883557800MedicaidFL
883557801MedicaidFL

Other names 1

  • Julie Margaret Foley Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130124000357 FL Practitioner - Qualified Speech Language Pathologist 5698929784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8777 San Jose Blvd
Suite 701
Jacksonville, FL 32217-4292
Phone (904) 733-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
N/AFLMDFamily Medicine Physician
SA4027FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Small Talk Inc Speech-Language Pathologist CurrentSince Oct 1, 2012 Accepting new patients
Small Talk Inc Speech-Language Pathologist CurrentSince Oct 1, 2012 Accepting new patients
Small Talk Inc Speech-Language Pathologist Past Accepting new patients
Small Talk Inc Speech-Language Pathologist Past Accepting new patients
Small Talk Inc Speech-Language Pathologist Past Accepting new patients

Locations

9803 Old Saint Augustine Rd
Ste 7
Jacksonville, FL 32257
Phone (904) 517-6729

9471 Baymeadows Rd
Ste 304
Jacksonville, FL 32256
Phone (904) 733-5034

8777 San Jose Blvd
Ste 701
Jacksonville, FL 32217

1700 Wells Rd
Ste 18
Orange Park, FL 32073

208 N 6th St
Palatka, FL 32177

2692 US Highway 1 S
Ste 111
Saint Augustine, FL 32086

1301 Plantation Island Dr S
Ste 202A
Saint Augustine, FL 32080
Phone (561) 903-4676

2200 N Ponce de Leon Blvd
Ste 7
St Augustine, FL 32084
Phone (904) 580-6120

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631404800000",
    "number": "1013998988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8777 SAN JOSE BLVD STE 701",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174292",
            "telephone_number": "904-733-8255",
            "fax_number": "904-733-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8777 SAN JOSE BLVD STE 701",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174292",
            "telephone_number": "904-733-8255",
            "fax_number": "904-733-5034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "248 Southpark Cir E",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320865137",
            "country_code": "US",
            "telephone_number": "904-733-8255",
            "fax_number": "904-733-5034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATTS",
        "first_name": "JULIE",
        "middle_name": "FOLEY",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2021-09-12",
        "certification_date": "2021-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "N/A",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA4027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "883557800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "883557801",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "FOLEY",
            "middle_name": "MARGARET",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.