Individual provider Active NPI

Julie Ann Dean-Pelikan, RNC, FNP

  • Family Nurse Practitioner
  • Sunnyvale, CA
National Provider Identifier
1043420003
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345136 Issued in CA
Practice address
1111 Lockheed Martin Way
BLDG. 152 Org. 360S
Sunnyvale, CA 94089-1212
Phone
(408) 742-9775
Fax
(408) 742-1420
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 345136 CA Primary

Addresses

Primary practice location

1111 Lockheed Martin Way
BLDG. 152 Org. 360S
Sunnyvale, CA 94089-1212

Mailing address

3750 Century Dr
Campbell, CA 95008-3834
Phone (408) 742-9775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20220512000726 SD Practitioner - Nurse Practitioner 5597006023 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
345136CAMDFamily Nurse Practitioner

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.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043420003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 CENTURY DR",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950083834",
            "telephone_number": "408-742-9775",
            "fax_number": "408-742-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 LOCKHEED MARTIN WAY",
            "address_2": "BLDG. 152 ORG. 360S",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940891212",
            "telephone_number": "408-742-9775",
            "fax_number": "408-742-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN-PELIKAN",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RNC, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "345136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

Verify at the official NPI Registry.