Individual provider Active NPI

Julie A Leader, NP

  • Pediatric Nurse Practitioner
  • Sedona, AZ
National Provider Identifier
1033303185
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN137139 AP2660 Issued in AZ
Practice address
275 Verde Valley School Rd
Sedona, AZ 86351
Phone
(928) 634-1614
NPI assigned
Aug 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN137139 AP2660 AZ Primary

Addresses

Primary practice location

275 Verde Valley School Rd
Sedona, AZ 86351

Mailing address

275 Verde Valley School Road
Sedona, AZ 86351-9013
Phone (928) 634-1614

Other practice location 1

1756 E Villa Dr
Ste C-4
Cottonwood, AZ 86326-4705
Phone (928) 634-1614

Other practice location 2

275 Verde Valley School Rd
Sedona, AZ 86351
Phone (928) 634-1614

Other identifiers 1

IdentifierTypeStateIssuer
305231MedicaidAZ

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN137139 AP2660AZMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elite ENT Past Accepting new patients
Maritza I. Irizarry MD Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDAIAD

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1033303185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 VERDE VALLEY SCHOOL ROAD",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863519013",
            "telephone_number": "928-634-1614",
            "fax_number": "928-634-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 VERDE VALLEY SCHOOL RD",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "86351",
            "telephone_number": "928-634-1614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1756 E Villa Dr",
            "address_2": "Ste C-4",
            "address_purpose": "LOCATION",
            "city": "Cottonwood",
            "state": "AZ",
            "postal_code": "863264705",
            "country_code": "US",
            "telephone_number": "928-634-1614",
            "fax_number": "928-634-1462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 Verde Valley School Rd",
            "address_purpose": "LOCATION",
            "city": "Sedona",
            "state": "AZ",
            "postal_code": "86351",
            "country_code": "US",
            "telephone_number": "928-634-1614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEADER",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-31",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "RN137139 AP2660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305231",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedona, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.