Active NPI
Janice Jerris Juliano, CCC LSP
- Speech-Language Pathologist
- West Seneca, NY
National Provider Identifier
1790083145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0-3763-1
- Practice address
- 355 Harlem Rd
West Seneca, NY 14224-1825 - Phone
- (716) 821-7023
- NPI assigned
- Mar 9, 2011
- 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 | 0-3763-1 | NY | Primary |
Addresses
Primary practice location
355 Harlem Rd
West Seneca, NY 14224-1825
Mailing address
679 Parkhurst Blvd
Tonawanda, NY 14223-1743
Phone (716) 835-6491
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0-3763-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299628800000",
"number": "1790083145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "679 PARKHURST BLVD",
"city": "TONAWANDA",
"state": "NY",
"postal_code": "142231743",
"telephone_number": "716-835-6491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 HARLEM RD",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142241825",
"telephone_number": "716-821-7023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JULIANO",
"first_name": "JANICE",
"middle_name": "JERRIS",
"credential": "CCC LSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-09",
"last_updated": "2011-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "0-3763-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Seneca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.