Julie L Subbert, R.N.

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

150861 Issued in MO

Practice address

5401 Veterans Memorial Pkwy Ste 100
Saint Peters, MO 63376-1681

Phone

(636) 441-0906

Fax

(636) 928-9288

NPI assigned

Mar 9, 2009

Last updated

Mar 9, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13289/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1033350822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5785 SUMMIT MEADOW DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633044511",
            "telephone_number": "636-441-0906",
            "fax_number": "636-928-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 VETERANS MEMORIAL PKWY STE 100",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761681",
            "telephone_number": "636-441-0906",
            "fax_number": "636-928-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBBERT",
        "first_name": "JULIE",
        "middle_name": "L",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "MO",
            "license": "150861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Jane Struckhoff, AGPNP
• Brian W. Stufflebam, M.D.
• Joseph Robert Sturges, D.C.
• James M. Sturm, DO
• Subbarao Polineni, M.D. PC (Subbarao Polineni, M.D)
• Amy Marie Sullivan, MOT, OTR/L
• Mazen Y Sultan, DMD
• Ramez Sunna
• Superior Healthcare Physical Medicine of West County, LLC
• Surgeon's First Choice, L.L.C.

• Registered Nurse First Assistant in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Registered Nurse First Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.

Verify at the official NPI Registry.