Individual provider Active NPI

Julia Ascoly, M.S. ED., CCC-SLP

  • Speech-Language Pathologist
  • Prescott, AZ
National Provider Identifier
1548584295
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP 5062 Issued in AZ
Practice address
1986 Forest VW
Prescott, AZ 86305-5112
Phone
(928) 639-9294
NPI assigned
Mar 24, 2010
Last updated
Mar 24, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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 SLP 5062 AZ Primary

Addresses

Primary practice location

1986 Forest VW
Prescott, AZ 86305-5112

Mailing address

395 Oak Creek Blvd
Sedona, AZ 86336-5609
Phone (928) 301-4807

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
SLP 5062AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
High Country Early Intervention Inc Speech-Language Pathologist PastSince Sep 9, 2019 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269388800000",
    "number": "1548584295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 OAK CREEK BLVD",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365609",
            "telephone_number": "928-301-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1986 FOREST VW",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863055112",
            "telephone_number": "928-639-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASCOLY",
        "first_name": "JULIA",
        "credential": "M.S. ED., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP 5062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.