Individual provider Active NPI

Julia Kilduff, M.S. SLP-CCC

  • Speech-Language Pathologist
  • Surprise, AZ
National Provider Identifier
1356945869
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TSLP9376 Issued in AZ
Practice address
15116 N Cotton LN
Surprise, AZ 85388-9618
Phone
(623) 322-8250
NPI assigned
Nov 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 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 TSLP9376 AZ Primary

Addresses

Primary practice location

15116 N Cotton LN
Surprise, AZ 85388-9618

Mailing address

19932 W Minnezona Ave
Litchfield Park, AZ 85340-6634
Phone (623) 512-3185

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

LicenseStateTypeSpecialty
TSLP9376AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
T.E.a.M. 4 Kids, LLC Speech-Language Pathologist CurrentSince Nov 1, 2020 Accepting new patients

Locations

15116 N Cotton Ln
Surprise, AZ 85388
Phone (623) 322-8250

13601 N Litchfield Rd
Ste 124
Surprise, AZ 85379
Phone (623) 248-3324

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1356945869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19932 W MINNEZONA AVE",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853406634",
            "telephone_number": "623-512-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15116 N COTTON LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853889618",
            "telephone_number": "623-322-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILDUFF",
        "first_name": "JULIA",
        "credential": "M.S. SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP9376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.