Julia Lynn Fossen, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11024453 Issued in FL

Practice address

6775 Crosswinds Dr N
Saint Petersburg, FL 33710-5471

Phone

(727) 387-8006

NPI assigned

Feb 8, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Carlos a Labrador Mdpa

  • Family Medicine Physician
  • St Petersburg, FL
  • NPI 1376753350
  Medicare reassignment NPD
• Carlos a Labrador Mdpa

  • Non-Pharmacy Dispensing Site
  • Gulfport, FL
  • NPI 1700594223
  NPD (past)

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676073600000",
    "number": "1154028363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 48TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337033726",
            "telephone_number": "443-567-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6775 CROSSWINDS DR N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337105471",
            "telephone_number": "727-387-8006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 56th St S",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "FL",
            "postal_code": "337075004",
            "country_code": "US",
            "telephone_number": "727-381-8006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSSEN",
        "first_name": "JULIA",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-11",
        "certification_date": "2023-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11024453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Fortner, DC
• Forward Physical Therapy, LLC
• Jennifer Fosdick, APRN
• Jacob Foshee
• Katie Meghan Foss, PA-C
• Michael D Foster
• Foundation Health Therapy LLC
• Foundational Health Alf, Inc.
• Fountain Pediatrics, Inc
• Lorna Beth Fountain, M.D.

• Nurse Practitioner in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.