Individual provider Active NPI

Julie Marie Buford, WHNP, FNP

  • Women's Health Nurse Practitioner
  • Fredericktown, MO
National Provider Identifier
1043490857
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN147013 Issued in MO
Practice address
611 West Main Street
Suite E
Fredericktown, MO 63645-1111
Phone
(573) 783-3341
Fax
(573) 783-1024
NPI assigned
Nov 8, 2007
Last updated
Aug 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN147013 MO Primary

Addresses

Primary practice location

611 West Main Street
Suite E
Fredericktown, MO 63645-1111

Mailing address

611 West Main Street
Suite E
Fredericktown, MO 63645-1111
Phone (573) 783-3341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20080121000201 MO Practitioner - Nurse Practitioner 4880775402 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

611 W Main St
Fredericktown, MO 63645-1111
Phone (573) 783-3341

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN147013MOMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Medical Center Stockhoff Memorial Nursing Home CurrentSince Jun 1, 2013 Accepting new patients
Madison Medical Center Stockhoff Memorial Nursing Home CurrentSince Jun 1, 2013 Accepting new patients
Avalon Obstetrics and Gynecology, P.C. Past Accepting new patients

Locations

611 W Main St
Fredericktown, MO 63645
Phone (573) 773-7061

611 W Main St
Ste E
Fredericktown, MO 63645
Phone (314) 729-0077

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/madison-075248be

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1043490857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 WEST MAIN STREET",
            "address_2": "SUITE E",
            "city": "FREDERICKTOWN",
            "state": "MO",
            "postal_code": "636451111",
            "telephone_number": "573-783-3341",
            "fax_number": "573-783-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 WEST MAIN STREET",
            "address_2": "SUITE E",
            "city": "FREDERICKTOWN",
            "state": "MO",
            "postal_code": "636451111",
            "telephone_number": "573-783-3341",
            "fax_number": "573-783-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUFORD",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "WHNP, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-08",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MO",
            "license": "RN147013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericktown, MO

Sources for this page

Verify at the official NPI Registry.