Active NPI
Julie Ann Dean-Pelikan, RNC, FNP
- Family Nurse Practitioner
- Sunnyvale, CA
National Provider Identifier
1043420003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 345136
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 345136 | CA | MD | Family 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.