Active NPI
Dawna S Julian, CCC SLP
- Speech-Language Pathologist
- Show Low, AZ
National Provider Identifier
1174647531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP1235
- Practice address
- 500 W Old Linden Rd
Show Low, AZ 85901 - Phone
- (928) 537-6183
- NPI assigned
- Mar 19, 2007
- 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 | SLP1235 | AZ | Primary |
Addresses
Primary practice location
500 W Old Linden Rd
Show Low, AZ 85901
Mailing address
PO Box 3389
Show Low, AZ 85902
Phone (928) 532-1377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 719388 | Medicaid | AZ |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP1235 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Show Low Unified School District #10 | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Show Low, AZ
- NPI 1578650701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1174647531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3389",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "85902",
"telephone_number": "928-532-1377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W OLD LINDEN RD",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "85901",
"telephone_number": "928-537-6183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JULIAN",
"first_name": "DAWNA",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP1235",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "719388",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Show Low, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.