Active NPI
Julia Elina, M.S.,CCC-SLP
- Speech-Language Pathologist
- Houston, TX
National Provider Identifier
1104224559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 16811
- Practice address
- 4141 S Braeswood Blvd
Houston, TX 77025-3307 - Phone
- (713) 666-2651
- NPI assigned
- Dec 17, 2014
- 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 | 16811 | TX | Primary |
Addresses
Primary practice location
4141 S Braeswood Blvd
Houston, TX 77025-3307
Mailing address
448 W 19TH St
#301
Houston, TX 77008-3914
Phone (972) 877-6796
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16811 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418774400000",
"number": "1104224559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "448 W 19TH ST",
"address_2": "#301",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770083914",
"telephone_number": "972-877-6796",
"fax_number": "214-491-5246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4141 S BRAESWOOD BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770253307",
"telephone_number": "713-666-2651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELINA",
"first_name": "JULIA",
"credential": "M.S.,CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-17",
"last_updated": "2014-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "16811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.