Active NPI
Julie Ann Mercadante, MA/CCC-SLP
- Speech-Language Pathologist
- Sedona, AZ
National Provider Identifier
1700076247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP13403
- Practice address
- 115 Flaming Arrow Way
Sedona, AZ 86336-3933 - Phone
- (815) 514-5500
- NPI assigned
- Jul 31, 2007
- 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 | SLP13403 | AZ | Primary |
Addresses
Primary practice location
115 Flaming Arrow Way
Sedona, AZ 86336-3933
Mailing address
115 Flaming Arrow Way
Sedona, AZ 86336-3933
Phone (815) 514-5500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104624 | Medicaid | AZ | |
| JM93230307P | Other | IL | EARLY INTERVENTION |
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 |
|---|---|---|---|
| SLP13403 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holy City Speech, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Look Who'S Talking, PLLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Johns Island, SC
- NPI 1295364040
-
- Developmentally Disabled Services Day Training Agency
- Queen Creek, AZ
- NPI 1952665796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642032000000",
"number": "1700076247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 FLAMING ARROW WAY",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863363933",
"telephone_number": "815-514-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 FLAMING ARROW WAY",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863363933",
"telephone_number": "815-514-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADANTE",
"first_name": "JULIE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MA/CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-31",
"last_updated": "2022-01-13",
"certification_date": "2022-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP13403",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104624",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EARLY INTERVENTION",
"identifier": "JM93230307P",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sedona, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.