Active NPI
Juliet Bradford, M.A./CCC-SLP
- Speech-Language Pathologist
- West Palm Beach, FL
National Provider Identifier
1649588146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA-9602
- Practice address
- 9117 Nugent TRL
West Palm Beach, FL 33411-6325 - Phone
- (561) 307-3319
- Fax
- (561) 307-3319
- NPI assigned
- Sep 17, 2010
- 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 | SA-9602 | FL | Primary |
Addresses
Primary practice location
9117 Nugent TRL
West Palm Beach, FL 33411-6325
Mailing address
9117 Nugent TRL
West Palm Beach, FL 33411-6325
Phone (561) 790-5874
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA-9602 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284681600000",
"number": "1649588146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9117 NUGENT TRL",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334116325",
"telephone_number": "561-790-5874",
"fax_number": "561-790-5874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9117 NUGENT TRL",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334116325",
"telephone_number": "561-307-3319",
"fax_number": "561-307-3319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADFORD",
"first_name": "JULIET",
"name_prefix": "Mrs.",
"credential": "M.A./CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-17",
"last_updated": "2010-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA-9602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.