NPIMap

Individual provider Active NPI

Julie Lynn Halling, M.D., PH.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Colorado Springs, CO
National Provider Identifier
1073508966
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
45066 Issued in CO
Practice address
3076 Electra Dr S
Colorado Springs, CO 80906-1097
Phone
(719) 632-8787
Fax
(866) 848-5096
NPI assigned
Sep 16, 2005
Last updated
Oct 10, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 34599 AZ
Geriatric Medicine (Family Medicine) Physician 207QG0300X 45066 CO Primary

Addresses

Primary practice location

3076 Electra Dr S
Colorado Springs, CO 80906-1097

Mailing address

3076 Electra Dr S
Colorado Springs, CO 80906-1097
Phone (719) 632-8787

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
45066COMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James Mirabile MD PA Past Accepting new patients
West Central Kansas Association, Inc. Past Accepting new patients
Julie Halling MD PC Geriatric Medicine PastSince Sep 1, 2005 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1073508966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3076 ELECTRA DR S",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809061097",
            "telephone_number": "719-632-8787",
            "fax_number": "866-848-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3076 ELECTRA DR S",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809061097",
            "telephone_number": "719-632-8787",
            "fax_number": "866-848-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLING",
        "first_name": "JULIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "34599",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CO",
            "license": "45066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.