Individual provider Active NPI

Julia Ann Ubbenga

  • Speech-Language Pathologist
  • San Antonio, TX
National Provider Identifier
1134483035
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
107472 Issued in TX
Practice address
13333 Blanco Rd
Ste. 302
San Antonio, TX 78216-2138
Phone
(210) 883-7879
Fax
(210) 492-4588
NPI assigned
Jun 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 107472 TX Primary

Addresses

Primary practice location

13333 Blanco Rd
Ste. 302
San Antonio, TX 78216-2138

Mailing address

13333 Blanco Rd
Ste. 302
San Antonio, TX 78216-2138
Phone (210) 883-7879

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

State licenses

LicenseStateTypeSpecialty
107472TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1134483035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13333 BLANCO RD",
            "address_2": "STE. 302",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162138",
            "telephone_number": "210-883-7879",
            "fax_number": "210-492-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13333 BLANCO RD",
            "address_2": "STE. 302",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162138",
            "telephone_number": "210-883-7879",
            "fax_number": "210-492-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UBBENGA",
        "first_name": "JULIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "107472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.