Active NPI
Julie Vrobel, M.S. CCC-SLP
- Speech-Language Pathologist
- Pueblo, CO
National Provider Identifier
1356577209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0000016
- Practice address
- 401 W Northern Ave
Pueblo, CO 81004-3111 - Phone
- (719) 553-0400
- NPI assigned
- Jun 5, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0000016 | CO | Primary |
Addresses
Primary practice location
401 W Northern Ave
Pueblo, CO 81004-3111
Mailing address
1334 Alexander Cir
Pueblo, CO 81001-2049
Phone (719) 406-4682
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SLP0000016 | Other | CO | STATE OF COLORADO DORA CERTIFICATION SPEECH LANGUAGE PATHOLOGY |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000016 | CO | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1356577209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1334 ALEXANDER CIR",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810012049",
"telephone_number": "719-406-4682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W NORTHERN AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810043111",
"telephone_number": "719-553-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VROBEL",
"first_name": "JULIE",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-05",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "0000016",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF COLORADO DORA CERTIFICATION SPEECH LANGUAGE PATHOLOGY",
"identifier": "SLP0000016",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.