Individual provider Active NPI

Julie Soud, ARNP

  • Family Nurse Practitioner
  • Labelle, FL
National Provider Identifier
1073878260
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP1093542 Issued in FL
Practice address
450 S Main St
Suite 1
Labelle, FL 33935-4629
Phone
(863) 675-2356
Fax
(863) 674-0347
NPI assigned
Jul 12, 2012
Last updated
Sep 4, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP1093542 FL Primary

Addresses

Primary practice location

450 S Main St
Suite 1
Labelle, FL 33935-4629

Mailing address

450 S Main St
Suite 1
Labelle, FL 33935-4629
Phone (863) 675-2356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120823000825 FL Practitioner - Nurse Practitioner 2769639822 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hendry County Hospital Authority Current Accepting new patients

Locations

500 W Sagamore Ave
Clewiston, FL 33440
Phone (863) 902-3032

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

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, 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": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1073878260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S MAIN ST",
            "address_2": "SUITE 1",
            "city": "LABELLE",
            "state": "FL",
            "postal_code": "339354629",
            "telephone_number": "863-675-2356",
            "fax_number": "863-674-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S MAIN ST",
            "address_2": "SUITE 1",
            "city": "LABELLE",
            "state": "FL",
            "postal_code": "339354629",
            "telephone_number": "863-675-2356",
            "fax_number": "863-674-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUD",
        "first_name": "JULIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP1093542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Labelle, FL

Sources for this page

Verify at the official NPI Registry.