Active NPI
Alexandria M Juliano, MS. CCC-SLP
- Speech-Language Pathologist
- Queensbury, NY
National Provider Identifier
1609394311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 026861
- Practice address
- 133 Aviation Rd
Queensbury, NY 12804-8206 - Phone
- (518) 416-4528
- NPI assigned
- Sep 1, 2017
- Last updated
- Feb 4, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 026861 | NY | Primary |
Addresses
Primary practice location
133 Aviation Rd
Queensbury, NY 12804-8206
Mailing address
25 Forest Dr
Albany, NY 12205-2521
Phone (518) 416-4528
Other practice location 1
515 Moe Rd
Clifton Park, NY 12065-3821
Phone (518) 280-4194
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 |
|---|---|---|---|
| 026861 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580774400000",
"number": "1609394311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 FOREST DR",
"city": "ALBANY",
"state": "NY",
"postal_code": "122052521",
"telephone_number": "518-416-4528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 AVIATION RD",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "128048206",
"telephone_number": "518-416-4528"
}
],
"practiceLocations": [
{
"address_1": "515 Moe Rd",
"address_purpose": "LOCATION",
"city": "Clifton Park",
"state": "NY",
"postal_code": "120653821",
"country_code": "US",
"telephone_number": "518-280-4194",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JULIANO",
"first_name": "ALEXANDRIA",
"middle_name": "M",
"credential": "MS. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-01",
"last_updated": "2020-02-04",
"certification_date": "2020-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "026861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Queensbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.