Julia Medlock, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP.0004198 Issued in CO

Practice address

434 Turner Dr Ste 1
Durango, CO 81303-3419

Phone

(941) 518-0031

NPI assigned

Jul 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1033728340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 TURNER DR STE 1",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813033419",
            "telephone_number": "941-518-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 TURNER DR STE 1",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813033419",
            "telephone_number": "941-518-0031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Edwards Village Blvd",
            "address_purpose": "LOCATION",
            "city": "Edwards",
            "state": "CO",
            "postal_code": "816325277",
            "country_code": "US",
            "telephone_number": "941-518-0031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDLOCK",
        "first_name": "JULIA",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0004198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi S. McMillan, MD
• Keneen Hope McNiven, D.C.
• Jessica Marie McVaugh
• Sara J. McVaugh, OTR
• Miguel Guillermo Medina Y Cruz Portillo
• Valerie Mehaffie, PA-C
• Melinda Stern Meiering, MSW
• Britney Nicole Meiers, LCSW
• Susan Leigh Falkenstein Meigs, LSW
• Renee Robichaux Melancon, PA

• Speech-Language Pathologist in Durango, CO
• Providers in Durango, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.