Individual provider Active NPI

Julia Lee Echols, MSN, FNP-BC

  • Family Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1033561188
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704186764 Issued in MI
Practice address
11260 E Jefferson Ave
Detroit, MI 48214-3320
Phone
(313) 306-5494
NPI assigned
Jul 12, 2016
Last updated
Apr 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704186764 MI Primary

Addresses

Primary practice location

11260 E Jefferson Ave
Detroit, MI 48214-3320

Mailing address

PO Box 746723
Atlanta, GA 30374-6723
Phone (127) 339-7303

Other identifiers 1

IdentifierTypeStateIssuer
363LF000XMedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Detroit Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160819001779 MI Practitioner - Nurse Practitioner 2163717893 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh Mi Physicians Group, PCGroup PAC ID 7810282191, 154 clinicians

Practice addresses (Care Compare)

11260 E Jefferson Ave
Jefferson Village Clinic
Detroit, MI 48214-3320
Phone (313) 749-0148

3525 Saginaw Rd
Burton, MI 48529
Phone (810) 222-3040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
4704186764MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince Dec 1, 2020 Accepting new patients
Vpa PC CurrentSince Dec 1, 2020 Accepting new patients
Vpa PC Current Accepting new patients
Osh-Mi Physicians Group PC CurrentSince May 9, 2022 Accepting new patients
Osh Mi Physicians Group, PC CurrentSince May 9, 2022 Accepting new patients
Jewel's Health & Wellness Center PLLC Family CurrentSince Apr 30, 2024 Accepting new patients
Priti Bhardwaj MD PC CurrentSince Nov 28, 2016 Accepting new patients
Osh-Mi Physicians Group PC Family Past Accepting new patients

Locations

11260 E Jefferson Ave
Detroit, MI 48214
Phone (313) 306-5494

102 W Pierson Rd
Flint, MI 48505
Phone (810) 222-3033

2176 Fort St
Lincoln Park, MI 48146
Phone (248) 948-7985

24350 Joy Rd
Ste 3A
Redford, MI 48239
Phone (313) 766-4772

25420 Goddard Rd
Taylor, MI 48180
Phone (313) 299-7243

500 Kirts Blvd
Troy, MI 48084
Phone (214) 824-6000

500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHFBA
  • Direct secure messaging: jechols701797@direct.hfhs.org
  • Direct secure messaging: juliaechols@epicpc.allscriptsdirect.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1033561188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746723",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746723",
            "telephone_number": "127-339-7303",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11260 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143320",
            "telephone_number": "313-306-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHOLS",
        "first_name": "JULIA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704186764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363LF000X",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Detroit",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11260 E Jefferson Ave",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482143320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.