Individual provider Active NPI

Julianna Rose Mootz, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Annapolis, MD
National Provider Identifier
1710408034
Registry record updated Jun 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
08473 Issued in MD
Practice address
1277 Green Holly Dr
Annapolis, MD 21409-4676
Phone
(410) 974-4248
NPI assigned
Jun 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 08473 MD Primary

Addresses

Primary practice location

1277 Green Holly Dr
Annapolis, MD 21409-4676

Mailing address

1 Stayman CT Apt I
Catonsville, MD 21228-6031
Phone (732) 610-7156

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
08473MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Frankly Communicating, Inc Speech-Language Pathologist CurrentSince Sep 6, 2018 Accepting new patients

Locations

12442 Owings Mills Blvd
Reisterstown, MD 21136
Phone (410) 871-2990

904 Washington Rd
Ste F
Westminster, MD 21157
Phone (410) 871-2990

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498608000000",
    "number": "1710408034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 STAYMAN CT APT I",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212286031",
            "telephone_number": "732-610-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1277 GREEN HOLLY DR",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214094676",
            "telephone_number": "410-974-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOTZ",
        "first_name": "JULIANNA",
        "middle_name": "ROSE",
        "name_prefix": "Miss",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2017-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "08473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; 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.