Individual provider Active NPI

Julie Sgarlat Urban, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Eden Prairie, MN
National Provider Identifier
1114385689
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
16090 Alpine Way
Eden Prairie, MN 55346-3748
Phone
(612) 861-1688
NPI assigned
Jan 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2355 KS
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

16090 Alpine Way
Eden Prairie, MN 55346-3748

Mailing address

16090 Alpine Way
Eden Prairie, MN 55346-3748
Phone (785) 766-4801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220806000647 MN Practitioner - Qualified Speech Language Pathologist 1759763766 Reassigns benefits to 1 organization
Receives reassigned benefits from 3 practitioners
Practice locations: Eden Prairie, MN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Speech & Occupational Therapy Speech-Language Pathologist CurrentSince Jan 1, 2024 Accepting new patients
Fraser Past Accepting new patients
Fraser Child and Family Center PastSince Oct 28, 2020 Accepting new patients

Locations

6409 City West Pkwy
Ste 206
Eden Prairie, MN 55344
Phone (952) 230-8173

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1114385689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16090 ALPINE WAY",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553463748",
            "telephone_number": "785-766-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16090 ALPINE WAY",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553463748",
            "telephone_number": "612-861-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBAN",
        "first_name": "JULIE",
        "middle_name": "SGARLAT",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-29",
        "last_updated": "2022-02-04",
        "certification_date": "2022-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "2355",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.