Active NPI
Julia Lottie Krulla, MD
- Pediatrics Physician
- Haymarket, VA
National Provider Identifier
1003073677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101243234
- Practice address
- 4424 Costello Way
Haymarket, VA 20169-2996 - Phone
- (703) 753-1895
- NPI assigned
- May 20, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101243234 | VA | Primary |
Addresses
Primary practice location
4424 Costello Way
Haymarket, VA 20169-2996
Mailing address
4424 Costello Way
Haymarket Pediatrics
Haymarket, VA 20169
Phone (703) 753-1895
Other names 1
- Dr. Julia Lottie Kaminski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101243234 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haymarket Pediatrics | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Haymarket, VA
- NPI 1528124419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261958400000",
"number": "1003073677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4424 COSTELLO WAY",
"address_2": "HAYMARKET PEDIATRICS",
"city": "HAYMARKET",
"state": "VA",
"postal_code": "20169",
"telephone_number": "703-753-1895",
"fax_number": "703-753-4630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4424 COSTELLO WAY",
"city": "HAYMARKET",
"state": "VA",
"postal_code": "201692996",
"telephone_number": "703-753-1895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRULLA",
"first_name": "JULIA",
"middle_name": "LOTTIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-20",
"last_updated": "2009-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101243234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIA",
"last_name": "KAMINSKI",
"middle_name": "LOTTIE",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Haymarket, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.