Individual provider Active NPI

Julie Marie Wozniak, R.N.

  • Registered Nurse
  • Santa Monica, CA
National Provider Identifier
1053641811
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN680091 Issued in CA
Practice address
1118 11TH St
Ste. 6
Santa Monica, CA 90403-5318
Phone
(310) 795-5854
Fax
(323) 766-1103
NPI assigned
Dec 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN680091 CA Primary

Addresses

Primary practice location

1118 11TH St
Ste. 6
Santa Monica, CA 90403-5318

Mailing address

1118 11TH St
Ste. 6
Santa Monica, CA 90403-5318
Phone (310) 795-5854

Other identifiers 1

IdentifierTypeStateIssuer
RN680091OtherCACA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN680091CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Vitale Home Health Dba Vitale Nursing Current Accepting new patients
Vitale Registered Nurse Past Accepting new patients

Organizations & group practices 2

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": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1053641811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 11TH ST",
            "address_2": "STE. 6",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035318",
            "telephone_number": "310-795-5854",
            "fax_number": "323-766-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 11TH ST",
            "address_2": "STE. 6",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035318",
            "telephone_number": "310-795-5854",
            "fax_number": "323-766-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOZNIAK",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-29",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN680091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "RN680091",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.