Individual provider Active NPI

Julie Ann Green, SLP

  • Speech-Language Assistant
  • Largo, FL
National Provider Identifier
1548494107
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SA15627 Issued in CA
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former 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
SA15627CAMDSpeech-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.

Verify at the official NPI Registry.