Active NPI
Julie Thompson
- Speech-Language Pathologist
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 101093
- Practice address
- 1302 W Sunset St
Springfield, MO 65807-5943 - Phone
- (417) 576-6009
- NPI assigned
- Jul 19, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | 101093 | MO | Primary |
Addresses
Primary practice location
1302 W Sunset St
Springfield, MO 65807-5943
Mailing address
832 N Belview Ave
Springfield, MO 65802-2249
Phone (417) 576-6009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101093 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Group Practice LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Aegis Group Practice LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Aegis Group Practice LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
4933 Old Greenwood Rd
Fort Smith, AR 72903
1302 W Sunset St
Springfield, MO 65807
Phone (417) 725-5774
1131 E Lakewood St
Springfield, MO 65810
Phone (417) 429-3666
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 and National Provider Directory roles.
-
- Occupational Therapist
- Kirkwood, MO
- NPI 1558819508
Speech-Language Pathologist
-
- Physical Therapist
- Springfield, MO
- NPI 1902516727
Speech-Language Pathologist
-
- Physical Therapist
- Indian Harbour Beach, FL
- NPI 1932072030
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1982959540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "832 N BELVIEW AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658022249",
"telephone_number": "417-576-6009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 W SUNSET ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075943",
"telephone_number": "417-576-6009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "JULIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-19",
"last_updated": "2023-05-01",
"certification_date": "2023-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "101093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.