Active NPI
Deborah Lynn St Julien, RNNP
- Nurse Practitioner
- San Jose, CA
National Provider Identifier
1104858398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN411505
- Practice address
- 276 International CR.
Family Health Center
San Jose, CA 95119 - Phone
- (408) 362-4740
- NPI assigned
- Jul 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN411505 | CA | Primary |
Addresses
Primary practice location
276 International CR.
Family Health Center
San Jose, CA 95119
Mailing address
276 International CR.
Family Health Center
San Jose, CA 95119
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN411505 | CA | MD | Nurse Practitioner |
Interoperability endpoints
- deborah.st.julien.1@14789.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1104858398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "276 INTERNATIONAL CR.",
"address_2": "FAMILY HEALTH CENTER",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "276 INTERNATIONAL CR.",
"address_2": "FAMILY HEALTH CENTER",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95119",
"telephone_number": "408-362-4740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST JULIEN",
"first_name": "DEBORAH",
"middle_name": "LYNN",
"credential": "RNNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "RN411505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
- Diane St Denis, RN
- Kenneth Edward St George, MA
- Rebecca Giordano St George, LMFT CA. 28030
- St James Health Center Pharmacy
- Tamra Ellen St John, LVN
- St. James Home Health, Inc.
- St. Patrick Home Health Providers, Inc.
- Joanabel Padaca Sta Maria, M.D.
- Arleen Sta. Maria Comiso, FNP-C
- April Catherine Stadelman
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.