Individual provider Active NPI

Julie M Bass, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Summerville, SC
National Provider Identifier
1083167019
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN26749 Issued in SC
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

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
RN2373378OtherMAAPRN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230306000388 CO Practitioner - Nurse Practitioner 0941673388

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2373378MAMDPsychiatric/Mental Health Nurse Practitioner
APN26749SCMDPsychiatric/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

Verify at the official NPI Registry.