Julia Marie Jacobs, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

112593 Issued in TX

Practice address

6099 Wayzata Blvd
Saint Louis Park, MN 55416-5538

Phone

(612) 871-1144

Fax

(817) 920-0068

NPI assigned

Jul 7, 2016

Last updated

Mar 16, 2023By the provider in NPPES

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

Enrolled in MN

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

University of Texas Southwestern Medical School at Dallas, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ear Nose and Throat Specialty Care of Minnesota PAGroup PAC ID 3274524020, 46 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

77.11 of 100Reported as group

Quality

63.28

Promoting interoperability

91

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ear Nose & Throat Specialty Care of Minnesota PA

  dba ENT Specialty Care

  • Otolaryngology Physician
  • St Louis Park, MN
  • NPI 1336175744
  Medicare reassignment Care Compare group NPD
• Medical Scanning Consultants PA

  dba RAYUS Radiology

  • Diagnostic Radiology Physician
  • St Louis Park, MN
  • NPI 1659348092
  Medicare reassignment NPD
• Cdi Twin Cities ASC LLC

  dba Rayus Twin Cities ASC

  • Ambulatory Surgical Clinic/Center
  • St Louis Park, MN
  • NPI 1245207687
  NPD
• Medical Scanning Consultants, PA

  dba Rayus Radiology

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
  • NPI 1699706176
  NPD
• Medical Scanning Consultants PA

  dba RAYUS Radiology

  • Diagnostic Radiology Physician
  • Federal Way, WA
  • NPI 1730156175
  NPD

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1083066658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6099 WAYZATA BLVD",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554165538",
            "telephone_number": "612-871-1144",
            "fax_number": "817-378-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6099 WAYZATA BLVD",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554165538",
            "telephone_number": "612-871-1144",
            "fax_number": "817-920-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JULIA",
        "middle_name": "MARIE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "112593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Frances Iverson, M.D.
• Katherine Charlotte Iverson
• J&S Group LLC
• Anne Meath Jackson, CCC-A
• Joscelise Isabella Jackson, DPT
• Thomas Jacobs, MA, LMFT
• Rachel Ellen Miller Jacobsen, LAMFT
• Erick Samuel Jacobson-Dunlop, MD
• Sarah Jacobson, PT, DPT
• Roshini Ahalya Jadoo, PHARMD

• Speech-Language Pathologist in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.