Active NPI
Julia Rae Richards, M.S.,CCC-SLP/L
- Speech-Language Pathologist
- Ottawa, IL
National Provider Identifier
1629582689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146001878
- Practice address
- 711 E McKinley Rd
Ottawa, IL 61350-4811 - Phone
- (815) 433-3761
- Fax
- (815) 433-9572
- NPI assigned
- Nov 28, 2017
- 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 | 146001878 | IL | Primary |
Addresses
Primary practice location
711 E McKinley Rd
Ottawa, IL 61350-4811
Mailing address
711 E McKinley Rd
Ottawa, IL 61350-4811
Phone (815) 433-3761
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 |
|---|---|---|---|
| 146001878 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511827200000",
"number": "1629582689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 E MCKINLEY RD",
"city": "OTTAWA",
"state": "IL",
"postal_code": "613504811",
"telephone_number": "815-433-3761",
"fax_number": "815-433-9572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 E MCKINLEY RD",
"city": "OTTAWA",
"state": "IL",
"postal_code": "613504811",
"telephone_number": "815-433-3761",
"fax_number": "815-433-9572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "JULIA",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "M.S.,CCC-SLP/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-28",
"last_updated": "2017-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146001878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.