Individual provider Active NPI

Julie Weeston, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Ashtabula, OH
National Provider Identifier
1811186489
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-7250 Issued in OH
Practice address
2515 Lake Ave
Ashtabula, OH 44004-4955
Phone
(440) 997-6680
NPI assigned
Oct 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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 SP-7250 OH Primary

Addresses

Primary practice location

2515 Lake Ave
Ashtabula, OH 44004-4955

Mailing address

2900 Forman Rd
Ashtabula, OH 44004-9528
Phone (440) 997-6680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250102001484 OH Practitioner - Qualified Speech Language Pathologist 3072040096 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP-7250OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Nov 11, 2024 Accepting new patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Nov 11, 2024 Accepting new patients

Locations

110 Horizon Dr
#310
Raleigh, NC 27615

200 Commerce Pl
Geneva, OH 44041
Phone (440) 361-3066

Interoperability endpoints

  • Direct secure messaging: jweeston39122@ehrdirect.uhhospitals.org

Organizations & group practices 2

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": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1811186489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 FORMAN RD",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440049528",
            "telephone_number": "440-997-6680",
            "fax_number": "440-997-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440044955",
            "telephone_number": "440-997-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEESTON",
        "first_name": "JULIE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP-7250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.