MEDICARE: MRS. JULIE BEMUS ORTIZ M.S., CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SP-672	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	668132	OTHER	NV	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1942379961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JULIE BEMUS ORTIZ M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	1025 ROBERTA LN
Second Line	:
City	:	SPARKS
State	:	NV
Zip	:	89431-1893
Country	:	US
Telephone Number	:	775-825-4744
Fax Number	:	775-351-1644

Provider Business Practice Location Address
First Line	:	895 ROBERTA LN
Second Line	:	STE. 101A
City	:	SPARKS
State	:	NV
Zip	:	89431-6802
Country	:	US
Telephone Number	:	775-825-4744
Fax Number	:	775-351-1644

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	02/12/2013

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Directions to “ MRS. JULIE BEMUS ORTIZ M.S., CCC-SLP” Practice Location

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