Individual provider Active NPI

Julie Jabaay, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Woodland Park, CO
National Provider Identifier
1245344662
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
01001679 Issued in CO
Practice address
1151 Kings Crown Rd
Woodland Park, CO 80863-7732
Phone
(719) 310-3361
NPI assigned
Aug 19, 2006
Last updated
Apr 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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 41YS00251500 NJ
Speech-Language Pathologist 235Z00000X 01001679 CO Primary

Addresses

Primary practice location

1151 Kings Crown Rd
Woodland Park, CO 80863-7732

Mailing address

1151 Kings Crown Rd
Woodland Park, CO 80863
Phone (719) 310-3361

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 Arts

State licenses

LicenseStateTypeSpecialty
01001679COMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1245344662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 KINGS CROWN RD",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "80863",
            "telephone_number": "719-310-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 KINGS CROWN RD",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808637732",
            "telephone_number": "719-310-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABAAY",
        "first_name": "JULIE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00251500",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "01001679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.