Active NPI
Julia Trautschold, M.D.
- Family Medicine Physician
- Puyallup, WA
National Provider Identifier
1063476786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD60840808
- Practice address
- 3908 10TH St SE
Puyallup, WA 98374 - Phone
- (253) 848-5951
- Fax
- (253) 845-7073
- NPI assigned
- Apr 12, 2006
- 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 Medicine Physician | 207Q00000X | MD60840808 | WA | Primary |
Addresses
Primary practice location
3908 10TH St SE
Puyallup, WA 98374
Mailing address
PO Box 417
Stuart, FL 34995-0417
Phone (772) 223-5665
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273400100 | Medicaid | FL | |
| MD60840808 | Other | WA | STATE 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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60840808 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital Flagler Inc. | Family Medicine | Past | Accepting new patients |
| Memorial Hospital Flagler Inc | Past | Accepting new patients | |
| Adventhealth Primary Care Network Inc | Family Medicine | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Altamonte Springs, FL
- NPI 1093493637
-
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1679678486
-
- Multi-Specialty Clinic/Center
- Palm Coast, FL
- NPI 1558530600
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534464000000",
"number": "1063476786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 417",
"city": "STUART",
"state": "FL",
"postal_code": "349950417",
"telephone_number": "772-223-5665",
"fax_number": "772-223-5646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3908 10TH ST SE",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "98374",
"telephone_number": "253-848-5951",
"fax_number": "253-845-7073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAUTSCHOLD",
"first_name": "JULIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-12",
"last_updated": "2018-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD60840808",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "273400100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "MD60840808",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.