Individual provider Active NPI

Julia C. Walberg, CCC-SLP

  • Speech-Language Pathologist
  • Burlington, VT
National Provider Identifier
1285065565
Registry record updated Feb 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8051732 Issued in VT
Practice address
489 Main St
Pomeroy Hall
Burlington, VT 05405-0130
Phone
(802) 656-3861
Fax
(802) 656-2528
NPI assigned
Dec 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X ASHA
Speech-Language Pathologist 235Z00000X 8051732 VT Primary
Speech-Language Pathologist 235Z00000X 12017687

Addresses

Primary practice location

489 Main St
Pomeroy Hall
Burlington, VT 05405-0130

Mailing address

489 Main Street Pomeory HL
University of Vermont
Burlington, VT 05405-0130
Phone (802) 656-3861

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

State licenses

LicenseStateTypeSpecialty
8051732VTMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393113600000",
    "number": "1285065565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 MAIN STREET POMEORY HL",
            "address_2": "UNIVERSITY OF VERMONT",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054050130",
            "telephone_number": "802-656-3861",
            "fax_number": "802-656-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 MAIN ST",
            "address_2": "POMEROY HALL",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054050130",
            "telephone_number": "802-656-3861",
            "fax_number": "802-656-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALBERG",
        "first_name": "JULIA",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-11",
        "last_updated": "2014-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "ASHA",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VT",
            "license": "8051732",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "12017687",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2014; 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.