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Deactivated NPI 1417560905 Deactivated / Inactive NPI Female Practitioner

Julia Roberts

Speech-Language Pathologist • Austin, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Julia Roberts has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 25, 2020
NPI Deactivation Date February 16, 2022
Total Practice Duration ~2 Years of Practice (2020 – 2022)

Professional Overview & Biography Verified Profile Summary

Julia Roberts was a registered Speech-Language Pathologist practicing in Austin, TX. Throughout an active medical career spanning 2 years, Julia Roberts provided care at the practice location at 2011 W KOENIG LN until profile deactivation on 2022-02-16.

Practice Location & Contact Primary Location

Practice Address

2011 W Koenig Ln

Austin, TX 787561131

Telephone 5124677006
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Austin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.1 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
1103 Specialists

Practicing in Austin, TX (17210 Statewide)

Telehealth Adoption Rate
1.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-02-16
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Niki Land , MS, CCC-SLP

Speech-Language Pathologist

NPI 1023136421

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Ysidra Williams , MA CCC-SLP

Speech-Language Pathologist

NPI 1134344393

MACCCSLP

Didi Rowland , LCSW

Social Worker - Clinical

NPI 1144500695

Licensed Clinical Social Worker

Mari Falkenhagen

Speech-Language Pathologist

NPI 1205117389
Jeannette Young , MS, CCC-SLP

Speech-Language Pathologist

NPI 1215070206

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Cezanne Mcloughlin , MA

Speech-Language Pathologist

NPI 1215184627

Master of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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Updated Practice Location October 16, 2023

Registered at 2011 W KOENIG LN, AUSTIN, TX 787561131 (Tel: 5124677006)

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Updated Business Mailing Address October 16, 2023

Registered at 400 W SAINT ELMO RD APT 3006, AUSTIN, TX 787453324

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Provider Name / Credentials Updated October 16, 2023

Recorded as JULIA ROBERTS

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2023

Speech-Language Pathologist

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NPI Profile Deactivated February 16, 2022

Record deactivated on February 16, 2022

NPI Profile Active August 25, 2020

NPI status registered as active in NPPES database

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Updated Practice Location August 25, 2020

Registered at 2011 W KOENIG LN, AUSTIN, TX 787561131 (Tel: 5124677006)

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Updated Business Mailing Address August 25, 2020

Registered at 400 W SAINT ELMO RD APT 3006, AUSTIN, TX 787453324

👤
Provider Name / Credentials Updated August 25, 2020

Recorded as JULIA ROBERTS

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2020

Speech-Language Pathologist

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Initial NPI Registration & Enumeration August 25, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417560905
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2020
Last Update: October 16, 2023
Deactivation Date: February 16, 2022
Sole Proprietor: No

Mailing Address

400 W Saint Elmo Rd Apt 3006

Austin, TX 787453324

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.