Active NPI
Julie Ann Dudley, SLP
- Speech-Language Pathologist
- Portland, ME
National Provider Identifier
1760637177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP1907
- Practice address
- 222 Auburn St
Ste 1G
Portland, ME 04103-6002 - Phone
- (207) 797-8255
- Fax
- (207) 797-5560
- NPI assigned
- Nov 26, 2008
- 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 | SP1907 | ME | Primary |
Addresses
Primary practice location
222 Auburn St
Ste 1G
Portland, ME 04103-6002
Mailing address
222 Auburn St
Ste 1G
Portland, ME 04103-6002
Phone (207) 797-8255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1250 Forest Ave
Suite 301
Portland, ME 04103-1884
Phone (207) 797-8255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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.
-
- Speech-Language Pathologist
- Portland, ME
- NPI 1457387904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276646400000",
"number": "1760637177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 AUBURN ST",
"address_2": "STE 1G",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041036002",
"telephone_number": "207-797-8255",
"fax_number": "207-797-5560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 AUBURN ST",
"address_2": "STE 1G",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041036002",
"telephone_number": "207-797-8255",
"fax_number": "207-797-5560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDLEY",
"first_name": "JULIE",
"middle_name": "ANN",
"name_prefix": "Miss",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-26",
"last_updated": "2010-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ME",
"license": "SP1907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.