Julia Peck, MS, CCC/SLP, IBCLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL60023046 Issued in WA

Practice address

2101 Briarwood CT
Richland, WA 99354-2013

Phone

(410) 310-8349

NPI assigned

Dec 16, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Julia Krohn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1437861846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 BRIARWOOD CT",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993542013",
            "telephone_number": "410-310-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 BRIARWOOD CT",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993542013",
            "telephone_number": "410-310-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "JULIA",
        "credential": "MS, CCC/SLP, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-16",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-311434",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60023046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "KROHN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benjamin David Pe, M.D.
• Derek J Peacock, MD
• Peak Performance Physical Therapy, PLLC
• Anthony Pech, DO
• Jeremy Walter Peck, M.D., PH.D.
• Steven Henry Peck, MACP
• Andrea Joanne Peiler, RNFA
• Kara Rae Pemberton, LMP/PTA
• Sergio Pena, CDPT
• Venkata Susrut Pendyala, M.D.

• Speech-Language Pathologist in Richland, WA
• Providers in Richland, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.