Active NPI
Jia Liu, MS, CCC-SLP
- Speech-Language Pathologist
- Greensboro, AL
National Provider Identifier
1932224854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP008215
- Practice address
- 1502 Main St
Greensboro, AL 36744-1552 - Phone
- (205) 575-1609
- Fax
- (334) 624-3960
- NPI assigned
- Mar 20, 2007
- Last updated
- Jul 8, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1729 | AL | |
| Speech-Language Pathologist | 235Z00000X | 2894 | MS | |
| Speech-Language Pathologist | 235Z00000X | SLP008215 | GA | Primary |
Addresses
Primary practice location
1502 Main St
Greensboro, AL 36744-1552
Mailing address
3225 Munsey CT
Cumming, GA 30041-9313
Phone (205) 799-5003
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146617 | Medicaid | AL | |
| 890016790 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, GA
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1729 | AL | MD | Speech-Language Pathologist |
| SLP008215 | GA | MD | Speech-Language Pathologist |
| 2894 | MS | MD | Speech-Language Pathologist |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Tuscaloosa, AL
- NPI 1114272853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467936000000",
"number": "1932224854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3225 MUNSEY CT",
"city": "CUMMING",
"state": "GA",
"postal_code": "300419313",
"telephone_number": "205-799-5003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 MAIN ST",
"city": "GREENSBORO",
"state": "AL",
"postal_code": "367441552",
"telephone_number": "205-575-1609",
"fax_number": "334-624-3960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "JIA",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2016-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "1729",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "2894",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP008215",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146617",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890016790",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; 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.