Julia Bouldin

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202004171 Issued in VA

Practice address

6313 Christie LN
Roanoke, VA 24018-7621

Phone

(540) 494-0280

NPI assigned

Jul 28, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Blue Mountain Therapy, LLC

  • Behavior Analyst
  • Abingdon, VA
  • NPI 1497330401
  NPD (past)
• Blue Mountain Therapy, LLC

  • Early Intervention Provider Agency
  • Abingdon, VA
  • NPI 1760818595

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1346913142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6313 CHRISTIE LN",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240187621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6313 CHRISTIE LN",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240187621",
            "telephone_number": "540-494-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULDIN",
        "first_name": "JULIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202004171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Boskat, PHARMD
• Michelle Jean Boswell
• Lauren Botello, LPC
• Astrid Botty Van Den Bruele, M.D.
• Sara Boucher, LCSW
• Boundless ABA LLC
• Cassandra Emalee Bovee, DO
• Alice Pham Bower, D.D.S.
• Curtis Edward Bower, MD
• John Scott Bower, PA-C

• Speech-Language Pathologist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.