Juliene Ann Pendleton, MS.CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22001485A Issued in IN

Practice address

Occupational and Speech Therapy Sisters of Providence
3301 St. Mary'S Rd
St. Mary of the Woods, IN 47876

Phone

(812) 535-1095

Fax

(812) 535-1004

NPI assigned

Jul 23, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1689874232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "OCCUPATIONAL AND SPEECH THERAPY SISTERS OF PROVIDENCE",
            "address_2": "3301 ST. MARY'S RD",
            "city": "ST. MARY OF THE WOODS",
            "state": "IN",
            "postal_code": "47876",
            "telephone_number": "812-535-1095",
            "fax_number": "812-535-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OCCUPATIONAL AND SPEECH THERAPY SISTERS OF PROVIDENCE",
            "address_2": "3301 ST. MARY'S RD",
            "city": "ST. MARY OF THE WOODS",
            "state": "IN",
            "postal_code": "47876",
            "telephone_number": "812-535-1095",
            "fax_number": "812-535-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDLETON",
        "first_name": "JULIENE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS.CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22001485A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in St. Mary of the Woods, IN
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.