MISS JULIE ANN DUDLEY (SLP) – Speech-Language Pathologist, NPI 1760637177

MISS JULIE ANN DUDLEY (SLP) is a healthcare provider. based in Portland, Maine. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials SLP. They hold a License No. SP1907 (ME). The NPI Number for MISS JULIE ANN DUDLEY (SLP) is 1760637177

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
MISS JULIE ANN DUDLEY (SLP)
NPI
1760637177
Phone
(207) 797-8255
Address
222 AUBURN ST
Enumeration Date
26 November 2008
Last Update Date
16 June 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2077978255
Graduation Year
2007 (19 years ago)
PAC ID
0648421594
Group Practice PAC ID
4284780156
Professional Enrollment ID
I20121127000326
Address ID
ME041031884PO1250XAVEX330
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

43 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in ME

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Provider Addresses for MISS JULIE ANN DUDLEY (SLP)

  • 222, Auburn Street, Portland, Cumberland County, Maine, 04103, United States

    STE 1G

    PORTLAND, ME 041036002

    Phone: (207) 797-8255

    Fax: (207) 797-5560

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-11-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121127000326IQualified Speech Language PathologistMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04103)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284780156View full group profile
NameSpecialtyState
-ME
Qualified Speech Language PathologistME
Qualified Speech Language PathologistME
Qualified AudiologistME
-ME

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Frequently asked questions

Is MISS JULIE ANN DUDLEY (SLP) listed with a National Provider Identifier?
Yes — MISS JULIE ANN DUDLEY (SLP) has NPI 1760637177 on file in the registry.
Would MISS JULIE ANN DUDLEY (SLP) appear as active to a payer?
You can treat MISS JULIE ANN DUDLEY (SLP) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MISS JULIE ANN DUDLEY (SLP)'s focus?
For MISS JULIE ANN DUDLEY (SLP), the primary taxonomy reads as Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MISS JULIE ANN DUDLEY (SLP)?
Travel planning: use Portland, Maine as the reference point for MISS JULIE ANN DUDLEY (SLP), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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