Active NPI
Julia Victoria Dawber, M.S. CCC-SLP, TSSLD
- Speech-Language Pathologist
- Blue Point, NY
National Provider Identifier
1255994208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 029883
- Practice address
- 235 Blue Point Ave
Blue Point, NY 11715-1261 - Phone
- (631) 363-5794
- NPI assigned
- Apr 16, 2019
- Last updated
- Jul 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Speech-Language Pathologist | 235Z00000X | 029883 | NY | Primary |
Addresses
Primary practice location
235 Blue Point Ave
Blue Point, NY 11715-1261
Mailing address
51 Roosevelt Ave
Commack, NY 11725-1720
Phone (631) 413-1201
Other practice location 1
1 Craig B Gariepy Ave
Islip Terrace, NY 11752-2820
Phone (631) 650-6545
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029883 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Angels Center, Inc | Multi-Specialty | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594684800000",
"number": "1255994208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 ROOSEVELT AVE",
"city": "COMMACK",
"state": "NY",
"postal_code": "117251720",
"telephone_number": "631-413-1201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 BLUE POINT AVE",
"city": "BLUE POINT",
"state": "NY",
"postal_code": "117151261",
"telephone_number": "631-363-5794"
}
],
"practiceLocations": [
{
"address_1": "1 Craig B Gariepy Ave",
"address_purpose": "LOCATION",
"city": "Islip Terrace",
"state": "NY",
"postal_code": "117522820",
"country_code": "US",
"telephone_number": "631-650-6545",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAWBER",
"first_name": "JULIA",
"middle_name": "VICTORIA",
"name_prefix": "Miss",
"credential": "M.S. CCC-SLP, TSSLD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-16",
"last_updated": "2020-07-14",
"certification_date": "2020-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "029883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.