Active NPI
Julie Meelia
- Speech-Language Pathologist
- Mansfield, MA
National Provider Identifier
1629102397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6360
- Practice address
- 66 West St
Suite 3
Mansfield, MA 02048-2404 - Phone
- (774) 284-0011
- NPI assigned
- Mar 15, 2007
- 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 | 6360 | MA | Primary |
Addresses
Primary practice location
66 West St
Suite 3
Mansfield, MA 02048-2404
Mailing address
15 Camden LN
Mansfield, MA 02048-2680
Phone (774) 284-0011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000037236 | Other | MA | BMC |
Other names 1
- Ms. Julie Martin
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 |
|---|---|---|---|
| 6360 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402876800000",
"number": "1629102397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 CAMDEN LN",
"city": "MANSFIELD",
"state": "MA",
"postal_code": "020482680",
"telephone_number": "774-284-0011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 WEST ST",
"address_2": "SUITE 3",
"city": "MANSFIELD",
"state": "MA",
"postal_code": "020482404",
"telephone_number": "774-284-0011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEELIA",
"first_name": "JULIE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2014-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "6360",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC",
"identifier": "000000037236",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "MARTIN",
"prefix": "MS.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Mansfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.