Individual provider Active NPI

Julie Diane Spoor, SLP

  • Speech-Language Pathologist
  • South Glens Falls, NY
National Provider Identifier
1407123896
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
006147 Issued in NY
Practice address
99 Hudson St
South Glens Falls, NY 12803-4944
Phone
(518) 792-5891
NPI assigned
Nov 29, 2011
Last updated
Nov 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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 006147 NY Primary

Addresses

Primary practice location

99 Hudson St
South Glens Falls, NY 12803-4944

Mailing address

229 Revere Dr
Ballston Spa, NY 12020-2320
Phone (518) 884-4009

Other names 1

  • Mrs. Julie Diane Miraglia-Spoor Professional name

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
006147NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1407123896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 REVERE DR",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120202320",
            "telephone_number": "518-884-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 HUDSON ST",
            "city": "SOUTH GLENS FALLS",
            "state": "NY",
            "postal_code": "128034944",
            "telephone_number": "518-792-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOOR",
        "first_name": "JULIE",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-29",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "006147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "MIRAGLIA-SPOOR",
            "middle_name": "DIANE",
            "prefix": "MRS.",
            "credential": "SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in South Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.