Julie Helen Ackerman, RN
Individual provider Active NPI Registered Nurse · Longmont, CO
NPI 1154733228 · NPPES record last updated May 23, 2014
Key facts
- NPI
- 1154733228
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 1626560 (CO)
- Practice address
- 529 Coffman St
Longmont, CO 80501-5450 - Phone
- (303) 678-6166
- NPI assigned
- May 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1626560 | CO | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1626560 | CO | Yes |
Addresses
Primary practice location
529 Coffman St
Longmont, CO 80501-5450
Mailing address
3450 Broadway St
Boulder, CO 80304-1824
Phone (303) 441-1100
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All providers in Longmont, CO · Registered Nurse in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.