Individual provider Active NPI

Julie Peldo, CCC-SLP

  • Speech-Language Pathologist
  • Spearfish, SD
National Provider Identifier
1720439011
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
194-SLP Issued in SD
Practice address
525 E Illinois St
Spearfish, SD 57783-2521
Phone
(605) 717-1201
Fax
(605) 717-1200
NPI assigned
Jun 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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 194-SLP SD Primary

Addresses

Primary practice location

525 E Illinois St
Spearfish, SD 57783-2521

Mailing address

3623 Day Spring LN
Spearfish, SD 57783-4170
Phone (605) 641-1218

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

State licenses

LicenseStateTypeSpecialty
194-SLPSDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spearfish School District Past Accepting new patients

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": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1720439011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 DAY SPRING LN",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577834170",
            "telephone_number": "605-641-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E ILLINOIS ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832521",
            "telephone_number": "605-717-1201",
            "fax_number": "605-717-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELDO",
        "first_name": "JULIE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SD",
            "license": "194-SLP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spearfish, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.