Active NPI
Julie Lynn Brown
- Speech-Language Pathologist
- Mansfield, TX
National Provider Identifier
1689182743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 18654
- Practice address
- 250 E Debbie LN
Mansfield, TX 76063-9240 - Phone
- (682) 518-6777
- NPI assigned
- Jan 10, 2018
- Last updated
- Jan 10, 2018
- 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 | 18654 | TX | Primary |
Addresses
Primary practice location
250 E Debbie LN
Mansfield, TX 76063-9240
Mailing address
1511 Monte Carlo Dr
Mansfield, TX 76063-6226
Phone (817) 437-1250
Other names 1
- Julie Lynn Hyatt
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18654 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Legacy Healthcare Services Inc. | Speech-Language Pathologist | Current | Accepting new patients |
Locations
110 Horizon Dr
#310
Raleigh, NC 27615
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Cedar Park, TX
- NPI 1871132357
Speech-Language Pathologist
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515542400000",
"number": "1689182743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1511 MONTE CARLO DR",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760636226",
"telephone_number": "817-437-1250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 E DEBBIE LN",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760639240",
"telephone_number": "682-518-6777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JULIE",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-10",
"last_updated": "2018-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "18654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "HYATT",
"middle_name": "LYNN",
"credential": "MS, CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.