Individual provider Active NPI

Julia Ashley Leonard Bush, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Montgomery, AL
National Provider Identifier
1043663511
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
009258 Issued in GA
Practice address
340 Mendel Pkwy W
Montgomery, AL 36117-5406
Phone
(334) 740-0784
NPI assigned
Jul 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 009258 GA Primary

Addresses

Primary practice location

340 Mendel Pkwy W
Montgomery, AL 36117-5406

Mailing address

340 Mendel Pkwy W
Montgomery, AL 36117-5406
Phone (334) 740-0784

Other practice location 1

545 Old Norcross Rd Ste 100
Lawrenceville, GA 30046-3390
Phone (678) 377-2833 ext. 110

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
009258GAMDNeurology Physician

NPI Registry JSON

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1043663511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MENDEL PKWY W",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361175406",
            "telephone_number": "334-740-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MENDEL PKWY W",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361175406",
            "telephone_number": "334-740-0784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 Old Norcross Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300463390",
            "country_code": "US",
            "telephone_number": "678-377-2833 x110",
            "fax_number": "678-377-2882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSH",
        "first_name": "JULIA",
        "middle_name": "ASHLEY LEONARD",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "009258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; 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.