Active NPI
Julie A Burke, M.S. CCC-SLP
- Speech-Language Pathologist
- Polson, MT
National Provider Identifier
1821110206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP1081
- Practice address
- 9 14TH Ave W
Polson, MT 59860-5321 - Phone
- (406) 883-4378
- NPI assigned
- Apr 4, 2007
- Last updated
- Aug 18, 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 | SP1081 | MT | Primary |
Addresses
Primary practice location
9 14TH Ave W
Polson, MT 59860-5321
Mailing address
128 Buchanan St SW
Ronan, MT 59864-3003
Phone (406) 676-0458
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP1081 | MT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219017600000",
"number": "1821110206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 BUCHANAN ST SW",
"city": "RONAN",
"state": "MT",
"postal_code": "598643003",
"telephone_number": "406-676-0458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 14TH AVE W",
"city": "POLSON",
"state": "MT",
"postal_code": "598605321",
"telephone_number": "406-883-4378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "JULIE",
"middle_name": "A",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2008-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MT",
"license": "SP1081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Polson, MT
- Bundy Management Inc (Healthcare Plus)
- Bundy Management Inc (Healthcare Plus)
- Bundy Management Inc (Healthcare Plus)
- Bundy Management Inc. (Healthcare Plus Retail Pharmacy)
- David Gordon Burke, D.M.D.
- Vincent Blase Burt
- Lisa Caldbeck, LMT
- Lindsy Briann Campbell, DPT
- Tricia L Campbell, RPH
- Jeanette Lucia Capps, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.