Individual provider Active NPI

Julia Grace Bania, WHNP-BC

  • Women's Health Nurse Practitioner
  • New Lenox, IL
National Provider Identifier
1104367655
Registry record updated Dec 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
209.015765 Issued in IL
Practice address
1890 Silver Cross Blvd
#210
New Lenox, IL 60451-9524
Phone
(815) 463-3000
NPI assigned
Mar 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 209.015765 IL Primary

Addresses

Primary practice location

1890 Silver Cross Blvd
#210
New Lenox, IL 60451-9524

Mailing address

713 Fairlane Dr
Joliet, IL 60435-5155
Phone (815) 342-7616

Other practice location 1

111 W Jackson Blvd Ste 1700
Chicago, IL 60604
Phone (888) 731-8994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20170428001009 IL Practitioner - Nurse Practitioner 3072890052 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.015765ILMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Obstetrics & Womens Health CurrentSince Apr 3, 2017 Accepting new patients
Integrative Womens Care PC Past Accepting new patients

Locations

1890 Silver Cross Blvd
Ste 210
New Lenox, IL 60451
Phone (815) 463-3000

Interoperability endpoints

  • Direct secure messaging: julia.bania.1@13826.direct.athenahealth.com
  • Direct secure messaging: julia.bania.1@27069.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GEFBDA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734825600000",
    "number": "1104367655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 FAIRLANE DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355155",
            "telephone_number": "815-342-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD",
            "address_2": "#210",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519524",
            "telephone_number": "815-463-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 W Jackson Blvd Ste 1700",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60604",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANIA",
        "first_name": "JULIA",
        "middle_name": "GRACE",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-16",
        "last_updated": "2024-12-22",
        "certification_date": "2024-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "209.015765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

Verify at the official NPI Registry.