Active NPI
Julianne T Pearson, MS, CCC-SLP
- Speech-Language Pathologist
- Boulder, CO
National Provider Identifier
1639406473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12051817
- Practice address
- 311 Mapleton Ave
Boulder, CO 80304-3979 - Phone
- (303) 441-2142
- Fax
- (303) 441-0536
- NPI assigned
- Nov 16, 2009
- 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 | 12051817 | Primary |
Addresses
Primary practice location
311 Mapleton Ave
Boulder, CO 80304-3979
Mailing address
311 Mapleton Ave
PO Box 9130
Boulder, CO 80304-3979
Phone (303) 441-2142
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12051817 | Other | ASHA NUMBER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258329600000",
"number": "1639406473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 MAPLETON AVE",
"address_2": "PO BOX 9130",
"city": "BOULDER",
"state": "CO",
"postal_code": "803043979",
"telephone_number": "303-441-2142",
"fax_number": "303-441-0536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 MAPLETON AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803043979",
"telephone_number": "303-441-2142",
"fax_number": "303-441-0536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "JULIANNE",
"middle_name": "T",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-16",
"last_updated": "2009-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": "12051817",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA NUMBER",
"identifier": "12051817",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.