Individual provider Active NPI

Julie A Dybbro, ARNP

  • Family Nurse Practitioner
  • Olympia, WA
National Provider Identifier
1124006150
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30004521 Issued in WA
Practice address
200 Lilly Rd NE
Suite B2
Olympia, WA 98506-5427
Phone
(360) 754-9409
Fax
(360) 459-7223
NPI assigned
Jan 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP30004521 WA Primary

Addresses

Primary practice location

200 Lilly Rd NE
Suite B2
Olympia, WA 98506-5427

Mailing address

200 Lilly Rd NE BLDG 2
Olympia, WA 98506-5427
Phone (360) 754-9409

Other identifiers 3

IdentifierTypeStateIssuer
7311072OtherWAAETNA
7607DYOtherWAREGENCE
9644741MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20051201000575 WA Practitioner - Nurse Practitioner 4284654633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Julie a Dybbro Arnp LLCGroup PAC ID 9830119288, 2 clinicians

Practice addresses (Care Compare)

200 Lilly Rd NE BLDG B
Olympia, WA 98506-5080
Phone (360) 754-9409

Hospital & facility affiliations

  • Mason General Hospital & Family of Clinics Hospital, Shelton, WA, CCN 501336

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP30004521WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Julie a Dybbro Arnp LLC Family CurrentSince Jul 5, 2005 Accepting new patients
Heather L Tramel Arnp LLC Past Accepting new patients

Locations

200 Lilly Rd NE
Ste B2
Olympia, WA 98506
Phone (360) 754-9409

200 Lilly Rd NE
Ste B
Olympia, WA 98506
Phone (360) 459-7200

Interoperability endpoints

  • Direct secure messaging: julie.dybbro@226863596830724.direct.elationemr.com

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1124006150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LILLY RD NE BLDG 2",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065427",
            "telephone_number": "360-754-9409",
            "fax_number": "360-459-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LILLY RD NE",
            "address_2": "SUITE B2",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065427",
            "telephone_number": "360-754-9409",
            "fax_number": "360-459-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYBBRO",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30004521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7311072",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "7607DY",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9644741",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.