NPIMap

Individual provider Active NPI

Julie Anne Unruh, APRN, FNP

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1114996998
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0990719 Issued in CO
Practice address
6965 Tutt Blvd Ste 200
Colorado Springs, CO 80923-3598
Phone
(719) 377-3477
Fax
(760) 267-9162
NPI assigned
Mar 15, 2006
Reactivated
Nov 24, 2020
Last updated
Dec 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0990719 CO Primary
Registered Nurse First Assistant 163WR0006X C12070 CO

Addresses

Primary practice location

6965 Tutt Blvd Ste 200
Colorado Springs, CO 80923-3598

Mailing address

PO Box 3525
Monument, CO 80132-3525
Phone (719) 650-1519

Other identifiers 2

IdentifierTypeStateIssuer
0990719OtherCOAPRN LICENSE
100681OtherCOAPRN RXP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080211000453 CO Practitioner - Nurse Practitioner 8729161070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pikes Peak Reflux and Weight Loss Surgery PLLCGroup PAC ID 1850725334, 2 clinicians

Practice addresses (Care Compare)

595 Chapel Hills Dr
Suite 245
Colorado Springs, CO 80920-1056
Phone (719) 377-3477

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18606CAMDGeneral Practice Dentistry
C12070COMDRegistered Nurse First Assistant
0990719COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Julie Unruh, Inc Registered Nurse First Assistant CurrentSince Feb 1, 2020 Accepting new patients
Health Stop LLC Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 24

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1114996998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3525",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801323525",
            "telephone_number": "719-650-1519",
            "fax_number": "760-267-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6965 TUTT BLVD STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233598",
            "telephone_number": "719-377-3477",
            "fax_number": "760-267-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNRUH",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "deactivation_date": "2020-11-03",
        "reactivation_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0990719",
            "primary": true
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "CO",
            "license": "C12070",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "0990719",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN RXP",
            "identifier": "100681",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.