Individual provider Active NPI

Julia Benson, M.A., CF-SLP

  • Speech-Language Pathologist
  • North Bend, OR
National Provider Identifier
1871169045
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP00492-P Issued in RI
Practice address
2085 Inland Dr Ste a
North Bend, OR 97459-1203
Phone
(541) 267-5221
NPI assigned
May 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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 SP00492-P RI Primary

Addresses

Primary practice location

2085 Inland Dr Ste a
North Bend, OR 97459-1203

Mailing address

93 Governor St Apt 2
Providence, RI 02906-3055
Phone (774) 255-0089

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 Arts

State licenses

LicenseStateTypeSpecialty
SP00492-PRIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sheldon Medical LLC CurrentSince Jun 22, 2021 Accepting new patients

Locations

2085 Inland Dr
Ste A
North Bend, OR 97459
Phone (541) 267-5221

Organizations & group practices 1

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": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1871169045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 GOVERNOR ST APT 2",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063055",
            "telephone_number": "774-255-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 INLAND DR STE A",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974591203",
            "telephone_number": "541-267-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "JULIA",
        "credential": "M.A., CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "RI",
            "license": "SP00492-P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.