Individual provider Active NPI

Julianna Peters, MA-CCC-SLP

  • Speech-Language Pathologist
  • Spring Hill, FL
National Provider Identifier
1770064693
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA14233 Issued in FL
Practice address
1226 Mariner Blvd
Spring Hill, FL 34609-5657
Phone
(727) 376-1111
NPI assigned
Aug 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2202004824 VA
Speech-Language Pathologist 235Z00000X SA14233 FL Primary

Addresses

Primary practice location

1226 Mariner Blvd
Spring Hill, FL 34609-5657

Mailing address

1004 Balaye Vista Cir Apt 302
Tampa, FL 33619-5095
Phone (804) 652-9300

Other practice location 1

15485 Beaverdam School Rd
Beaverdam, VA 23015-1306
Phone (804) 449-6373

Other names 1

  • Julianna Perrelli Former name

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

State licenses

LicenseStateTypeSpecialty
SA14233FLMDSpeech-Language Pathologist
2202004824VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1770064693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 BALAYE VISTA CIR APT 302",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336195095",
            "telephone_number": "804-652-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095657",
            "telephone_number": "727-376-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15485 Beaverdam School Rd",
            "address_purpose": "LOCATION",
            "city": "Beaverdam",
            "state": "VA",
            "postal_code": "230151306",
            "country_code": "US",
            "telephone_number": "804-449-6373",
            "fax_number": "804-449-6510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "JULIANNA",
        "credential": "MA-CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202004824",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA14233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIANNA",
            "last_name": "PERRELLI",
            "credential": "MA-CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.