Active NPI
Julie Palmer, MS,CCC/SLP-L
- Speech-Language Pathologist
- Dexter, MO
National Provider Identifier
1609156652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 104774
- Practice address
- 910 Nina St
Dexter, MO 63841-9114 - Phone
- (573) 624-4669
- NPI assigned
- Aug 23, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 104774 | MO | Primary |
Addresses
Primary practice location
910 Nina St
Dexter, MO 63841-9114
Mailing address
102 W Wakefield Ave
Sikeston, MO 63801-4722
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
| License | State | Type | Specialty |
|---|---|---|---|
| 104774 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314057600000",
"number": "1609156652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 W WAKEFIELD AVE",
"city": "SIKESTON",
"state": "MO",
"postal_code": "638014722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 NINA ST",
"city": "DEXTER",
"state": "MO",
"postal_code": "638419114",
"telephone_number": "573-624-4669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "JULIE",
"credential": "MS,CCC/SLP-L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-23",
"last_updated": "2011-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "104774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dexter, MO
- New Dawn Care LLC
- No Place Like Home in Home Services, LLC
- No Place Like Home in- Home Services, LLC
- Overturf Drug Stores of Dexter, Inc.
- Ozark Wellness & Athletic Club
- Paradigm Rehab Services, LLC
- Paradigm Senior Management LLC
- Judy Pedigo, FNP
- Paul James Perry, RPH
- Hollie Meredith Pippins, MCD CF-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.