Individual provider Active NPI

Julie Robertson Flaker, MSED

  • Orientation and Mobility Training Rehabilitation Counselor
  • Jamestown, NY
National Provider Identifier
1073313540
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orientation and Mobility Training Rehabilitation CounselorTaxonomy code 225CX0006X
Practice address
414 Park St
Jamestown, NY 14701-8018
Phone
(716) 489-8775
Fax
(716) 484-3518
NPI assigned
Mar 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orientation and Mobility Training Rehabilitation Counselor 225CX0006X Primary

Addresses

Primary practice location

414 Park St
Jamestown, NY 14701-8018

Mailing address

414 Park St
Jamestown, NY 14701-8018
Phone (716) 489-8775

Other names 1

  • Julie Robertson Muckinhaupt Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1073313540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 PARK ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147018018",
            "telephone_number": "716-489-8775",
            "fax_number": "716-484-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 PARK ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147018018",
            "telephone_number": "716-489-8775",
            "fax_number": "716-484-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAKER",
        "first_name": "JULIE",
        "middle_name": "ROBERTSON",
        "credential": "MSED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225CX0006X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Orientation and Mobility Training Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "MUCKINHAUPT",
            "middle_name": "ROBERTSON",
            "credential": "MSED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jamestown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.