Individual provider Active NPI

Julie S Delozier, MA, CCC-SLP

  • Speech-Language Pathologist
  • Crestwood, KY
National Provider Identifier
1578784682
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
KY-0636 Issued in KY
Practice address
7511 Turner Ridge Road
Crestwood, KY 40014-8973
Phone
(502) 494-5569
Fax
(502) 365-1413
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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 KY-0636 KY Primary

Addresses

Primary practice location

7511 Turner Ridge Road
Crestwood, KY 40014-8973

Mailing address

7511 Turner Ridge Road
Crestwood, KY 40014-8973
Phone (502) 494-5569

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 Arts

State licenses

LicenseStateTypeSpecialty
KY-0636KYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1578784682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7511 TURNER RIDGE ROAD",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400148973",
            "telephone_number": "502-494-5569",
            "fax_number": "502-365-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7511 TURNER RIDGE ROAD",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400148973",
            "telephone_number": "502-494-5569",
            "fax_number": "502-365-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOZIER",
        "first_name": "JULIE",
        "middle_name": "S",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "KY-0636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestwood, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.