MRS. JULIE DANETTE BOGAARDS (MS,CCC-SLP) – Speech-Language Pathologist, NPI 1790761104

MRS. JULIE DANETTE BOGAARDS (MS,CCC-SLP) is a healthcare provider. based in Lake jackson, Texas. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials MS,CCC-SLP. They hold a License No. 16308 (TX). The NPI Number for MRS. JULIE DANETTE BOGAARDS (MS,CCC-SLP) is 1790761104

Main info

Female
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JULIE DANETTE BOGAARDS (MS,CCC-SLP)
NPI
1790761104
Phone
(979) 297-3365
Address
321 GARLAND DR
Enumeration Date
16 December 2005
Last Update Date
13 August 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9792973365
Graduation Year
1993 (33 years ago)
PAC ID
5395810923
Group Practice PAC ID
5496820029
Professional Enrollment ID
I20090730000587
Address ID
TX775666238LA321XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

635 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in TX

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Provider Addresses for MRS. JULIE DANETTE BOGAARDS (MS,CCC-SLP)

  • 321, Garland Drive, Lake Jackson, Brazoria County, Texas, 77566, United States

    LAKE JACKSON, TX 775666238

    Phone: (979) 297-3365

    Fax: (979) 297-3541

    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: 2009-07-30

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
I20090730000587IQualified Speech Language PathologistTXTBD

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 77566)

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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: 5496820029View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Qualified Speech Language PathologistTX
-TX
Physical Therapist In Private PracticeTX
-TX

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Frequently asked questions

How do I look up MRS. JULIE DANETTE BOGAARDS (MS,CCC-SLP) by NPI?
Use NPI 1790761104 when you need to reference MRS. JULIE DANETTE BOGAARDS (MS,CCC-SLP) in forms, claims, or directories.
Is MRS. JULIE DANETTE BOGAARDS (MS,CCC-SLP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MRS. JULIE DANETTE BOGAARDS (MS,CCC-SLP) list a primary specialty?
If you are matching referrals, note Speech-Language Pathologist for MRS. JULIE DANETTE BOGAARDS (MS,CCC-SLP). Clinical services aligned with this taxonomy classification.
Does MRS. JULIE DANETTE BOGAARDS (MS,CCC-SLP) practice in Texas?
You will see Lake Jackson, Texas on file for MRS. JULIE DANETTE BOGAARDS (MS,CCC-SLP) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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