Julie Anne Medenwald

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

PSLP.0000401 Issued in CO

Practice address

5750 DTC Pkwy Ste 170
Greenwood Village, CO 80111-5483

Phone

(303) 504-9945

NPI assigned

Sep 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Amaryllis Therapy Network, Inc.

  • Occupational Therapist
  • Denver, CO
  • NPI 1629487947

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1063997849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 MILWAUKEE ST",
            "address_2": "STE 101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061627",
            "telephone_number": "303-504-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 DTC PKWY STE 170",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801115483",
            "telephone_number": "303-504-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDENWALD",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "PSLP.0000401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Lane Clarke McMillin
• McNamee & Associates, LLC
• Kimberly Ann McPherson
• Betty Jo McWilliams, RN
• Jason Eugene McWilliams, ATC
• Medical Education and Geriatrics PLLC
• Eleanor Medina, MFTC
• Laura Medina, RN
• Megan Iritani DDS PLLC
• Megan Wilhite, PSYD LLC

• Speech-Language Pathologist in Greenwood Village, CO
• Providers in Greenwood Village, 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 13, 2022; 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.