Active NPI
Grace Anne Julian, LAT, ATC
- Athletic Trainer
- Winona, MN
National Provider Identifier
1023726973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 3709
- Practice address
- 700 Terrace HTS
Winona, MN 55987-1399 - Phone
- (763) 203-1786
- NPI assigned
- Nov 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 3709 | MN | Primary |
Addresses
Primary practice location
700 Terrace HTS
Winona, MN 55987-1399
Mailing address
7080 Highway 61 W Apt 201
Minnesota City, MN 55959-1275
Phone (763) 203-1786
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3709 | MN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1023726973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7080 HIGHWAY 61 W APT 201",
"city": "MINNESOTA CITY",
"state": "MN",
"postal_code": "559591275",
"telephone_number": "763-203-1786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 TERRACE HTS",
"city": "WINONA",
"state": "MN",
"postal_code": "559871399",
"telephone_number": "763-203-1786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JULIAN",
"first_name": "GRACE",
"middle_name": "ANNE",
"credential": "LAT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-09",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": "3709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winona, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.