Individual provider Active NPI

Juliana Dalton

  • Speech-Language Pathologist
  • King and Queen Court House, VA
National Provider Identifier
1356175400
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2204001493 Issued in VA
Practice address
17152 The TRL
King and Queen Court House, VA 23085-2054
Phone
(804) 785-5830
NPI assigned
Aug 30, 2024
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2204001493 VA Primary

Addresses

Primary practice location

17152 The TRL
King and Queen Court House, VA 23085-2054

Mailing address

2671 The TRL
Saint Stephens Church, VA 23148-2083
Phone (804) 972-1519

Other practice location 1

5004 Monument Ave Ste 104
Richmond, VA 23230-3629
Phone (502) 556-8255

Other practice location 2

7114 Cople Hwy
Hague, VA 22469-2525
Phone (804) 472-2081

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

State licenses

LicenseStateTypeSpecialty
2204001493VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1356175400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2671 THE TRL",
            "city": "SAINT STEPHENS CHURCH",
            "state": "VA",
            "postal_code": "231482083",
            "telephone_number": "804-972-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17152 THE TRL",
            "city": "KING AND QUEEN COURT HOUSE",
            "state": "VA",
            "postal_code": "230852054",
            "telephone_number": "804-785-5830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5004 Monument Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232303629",
            "country_code": "US",
            "telephone_number": "502-556-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7114 Cople Hwy",
            "address_purpose": "LOCATION",
            "city": "Hague",
            "state": "VA",
            "postal_code": "224692525",
            "country_code": "US",
            "telephone_number": "804-472-2081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALTON",
        "first_name": "JULIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204001493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King and Queen Court House, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.