Active NPI
Julie L Nolan, M.A., CCC-SLP/L
- Speech-Language Pathologist
- Syracuse, NY
National Provider Identifier
1245485978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 017318-1
- Practice address
- 301 Valley Dr
Syracuse, NY 13207-2298 - Phone
- (315) 468-1632
- NPI assigned
- Nov 21, 2008
- Last updated
- Nov 21, 2008
- 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 | 017318-1 | NY | Primary |
Addresses
Primary practice location
301 Valley Dr
Syracuse, NY 13207-2298
Mailing address
301 Valley Dr
Syracuse, NY 13207-2298
Phone (315) 468-1632
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017318-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arc of Onondaga | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Early Intervention Provider Agency
- Syracuse, NY
- NPI 1053566711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227225600000",
"number": "1245485978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 VALLEY DR",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132072298",
"telephone_number": "315-468-1632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 VALLEY DR",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132072298",
"telephone_number": "315-468-1632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAN",
"first_name": "JULIE",
"middle_name": "L",
"credential": "M.A., CCC-SLP/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-21",
"last_updated": "2008-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "017318-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.