Active NPI
Julie M Bass, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Summerville, SC
National Provider Identifier
1083167019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APN26749
- Practice address
- 1318 N Main St # 1373
Summerville, SC 29483-7308 - Phone
- (843) 491-0509
- Fax
- (843) 829-9502
- NPI assigned
- Jul 26, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2373378 | MA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN26749 | SC | Primary |
Addresses
Primary practice location
1318 N Main St # 1373
Summerville, SC 29483-7308
Mailing address
1318 N Main St # 1373
Summerville, SC 29483-7308
Phone (843) 491-0509
Other practice location 1
145 Tremont St Ste 201-1558
Boston, MA 02111-1208
Phone (843) 491-0509
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN2373378 | Other | MA | APRN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230306000388 | CO | Practitioner - Nurse Practitioner | 0941673388 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2373378 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
| APN26749 | SC | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764892800000",
"number": "1083167019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1318 N MAIN ST # 1373",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294837308",
"telephone_number": "843-491-0509",
"fax_number": "843-829-9502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1318 N MAIN ST # 1373",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294837308",
"telephone_number": "843-491-0509",
"fax_number": "843-829-9502"
}
],
"practiceLocations": [
{
"address_1": "145 Tremont St Ste 201-1558",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021111208",
"country_code": "US",
"telephone_number": "843-491-0509",
"fax_number": "843-829-9502",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BASS",
"first_name": "JULIE",
"middle_name": "M",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-26",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "RN2373378",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "SC",
"license": "APN26749",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN",
"identifier": "RN2373378",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.