Individual provider Active NPI

Julianne Abuda

  • Speech-Language Pathologist
  • Henderson, NV
National Provider Identifier
1962872713
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-2046 Issued in NV
Practice address
1481 W Warm Springs Rd Ste 138
Henderson, NV 89014-7641
Phone
(702) 800-3391
Fax
(702) 608-9026
NPI assigned
Oct 5, 2015
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLA-036 GU
Speech-Language Pathologist 235Z00000X SP-2046 NV Primary

Addresses

Primary practice location

1481 W Warm Springs Rd Ste 138
Henderson, NV 89014-7641

Mailing address

PO Box 3830
Hagatna, GU 96932-3830

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210922003507 NV Practitioner - Qualified Speech Language Pathologist 4981994514 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Go Therapy LLC Speech-Language Pathologist CurrentSince May 14, 2021 Accepting new patients

Locations

1481 W Warm Springs Rd
Ste 138
Henderson, NV 89014
Phone (702) 800-3391

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1962872713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3830",
            "city": "HAGATNA",
            "state": "GU",
            "postal_code": "969323830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 W WARM SPRINGS RD STE 138",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890147641",
            "telephone_number": "702-800-3391",
            "fax_number": "702-608-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUDA",
        "first_name": "JULIANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GU",
            "license": "SLA-036",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-2046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.