Active NPI
Julie Ann Green, SLP
- Speech-Language Assistant
- Largo, FL
National Provider Identifier
1548494107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SA15627
- Practice address
- 8254 118TH Avenue North
Suite 100
Largo, FL 33773 - Phone
- (727) 541-5304
- Fax
- (727) 546-8527
- NPI assigned
- May 12, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | |||
| Speech-Language Assistant | 2355S0801X | SA15627 | CA | Primary |
Addresses
Primary practice location
8254 118TH Avenue North
Suite 100
Largo, FL 33773
Mailing address
10307 Casa Palarmo Dr
Riverview, FL 33578-3549
Phone (847) 814-9253
Other practice location 1
200 moders ave
cary, IL 60013
Phone (847) 639-3970
Other names 1
- Julie Rogala
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
| License | State | Type | Specialty |
|---|---|---|---|
| SA15627 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1548494107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10307 CASA PALARMO DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335783549",
"telephone_number": "847-814-9253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8254 118TH AVENUE NORTH",
"address_2": "SUITE 100",
"city": "LARGO",
"state": "FL",
"postal_code": "33773",
"telephone_number": "727-541-5304",
"fax_number": "727-546-8527"
}
],
"practiceLocations": [
{
"address_1": "200 moders ave",
"address_purpose": "LOCATION",
"city": "cary",
"state": "IL",
"postal_code": "60013",
"country_code": "US",
"telephone_number": "847-639-3970",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREEN",
"first_name": "JULIE",
"middle_name": "ANN",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "SA15627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "ROGALA",
"credential": "SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.