Active NPI
Julia R Mortimer-Brown, M.ED. CCC-SLP
- Speech-Language Pathologist
- Raleigh, NC
National Provider Identifier
1053586909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5284
- Practice address
- 100 Monie LN
Raleigh, NC 27601-1560 - Phone
- (919) 484-0850
- NPI assigned
- Apr 22, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 5284 | NC | Primary |
Addresses
Primary practice location
100 Monie LN
Raleigh, NC 27601-1560
Mailing address
5308 Penrith Dr Apt G
Durham, NC 27713-1750
Phone (919) 210-4307
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130AT | Other | NC | BCBS GROUP PROVIDER NUMBER |
| 7412257 | Medicaid | NC |
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5284 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1053586909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5308 PENRITH DR APT G",
"city": "DURHAM",
"state": "NC",
"postal_code": "277131750",
"telephone_number": "919-210-4307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MONIE LN",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276011560",
"telephone_number": "919-484-0850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORTIMER-BROWN",
"first_name": "JULIA",
"middle_name": "R",
"credential": "M.ED. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-22",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "5284",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP PROVIDER NUMBER",
"identifier": "130AT",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7412257",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.