Active NPI
Julie Jefferson
- Speech-Language Pathologist
- Gardendale, AL
National Provider Identifier
1972263960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1683
- Practice address
- 474 Tarrant Rd
Gardendale, AL 35071-2947 - Phone
- (205) 608-2999
- NPI assigned
- Dec 18, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1683 | AL | Primary |
Addresses
Primary practice location
474 Tarrant Rd
Gardendale, AL 35071-2947
Mailing address
1254 Atkins Trimm Blvd
Hoover, AL 35226-2015
Phone (205) 835-9957
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639785600000",
"number": "1972263960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1254 ATKINS TRIMM BLVD",
"city": "HOOVER",
"state": "AL",
"postal_code": "352262015",
"telephone_number": "205-835-9957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "474 TARRANT RD",
"city": "GARDENDALE",
"state": "AL",
"postal_code": "350712947",
"telephone_number": "205-608-2999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERSON",
"first_name": "JULIE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-18",
"last_updated": "2021-12-18",
"certification_date": "2021-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "1683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardendale, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.