Julie Ann Whitehead, MS, CCC/SLP, L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-1507 Issued in ID

Practice address

475 Mahard Dr
Twin Falls, ID 83301-0275

Phone

(208) 969-0987

Fax

(208) 735-9022

NPI assigned

Jan 6, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Julie A Muir-Whitehead Other name

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Therapy Source LLCGroup PAC ID 7012002702, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Primary Therapy Source, LLC

  • Physical Therapist
  • Twin Falls, ID
  • NPI 1912027343

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Primary Therapy Source LLC

  • Durable Medical Equipment & Medical Supplies
  • Twin Falls, ID
  • NPI 1104672682
  NPD

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1760786669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 MAHARD DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833010275",
            "telephone_number": "208-735-9022",
            "fax_number": "208-735-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 MAHARD DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833010275",
            "telephone_number": "208-969-0987",
            "fax_number": "208-735-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC/SLP, L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-1507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "MUIR-WHITEHEAD",
            "middle_name": "A",
            "prefix": "MRS.",
            "credential": "MS, CCC/SLP, L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lori Ann Wheelwright, O.T.
• Carla Wherry, LMSW
• Alex White, PT, DPT, OCS, CSCS
• David A White, CRNA
• Montana James White, NP
• Michael Robert Whitehead, PH.D., LMFT
• Jessea Camille Whitlow, PA-C
• Lani B. Whitney, LPC
• Gregory Mathew Wickern, M.D.
• Kim Cheri Wiggins, M.D.

• Speech-Language Pathologist in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Speech-Language Pathologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.

Verify at the official NPI Registry.