Individual provider Active NPI

Julie Ladd, FNP-C

  • Family Nurse Practitioner
  • Kirksville, MO
National Provider Identifier
1154980159
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019019256 Issued in MO
Practice address
1611 S Baltimore St
Kirksville, MO 63501-4518
Phone
(660) 665-7575
Fax
(660) 665-7576
NPI assigned
Jun 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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 2019019256 MO Primary

Addresses

Primary practice location

1611 S Baltimore St
Kirksville, MO 63501-4518

Mailing address

1611 S Baltimore St
Kirksville, MO 63501-4518
Phone (660) 665-7575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, FL, TX, NV, AZ5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20190715003497 MO Practitioner - Nurse Practitioner 2961737879 Reassigns benefits to 6 organizations
I20230217000875 FL Practitioner - Nurse Practitioner 2961737879
I20230510003547 TX Practitioner - Nurse Practitioner 2961737879 Reassigns benefits to 2 organizations
I20230905000343 NV Practitioner - Nurse Practitioner 2961737879 Reassigns benefits to 1 organization
I20230905001273 AZ Practitioner - Nurse Practitioner 2961737879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General John J Pershing Memorial Hospital Association 20 clinicians
Hannibal Regional Healthcare System Inc 256 clinicians

Practice addresses (Care Compare)

130 E Lockling St
Brookfield, MO 64628-2337

1611 S Baltimore St
Kirksville, MO 63501-4518
Phone (660) 665-7575

Hospital & facility affiliations

  • Pershing Memorial Hospital Hospital, Brookfield, MO, CCN 261307
  • Hannibal Regional Hospital Hospital, Hannibal, MO, CCN 260025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1098358TXMDPhysical Therapist
2019019256MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Doc LLC CurrentSince Jan 6, 2024 Accepting new patients
Hannibal Regional Healthcare System, Inc CurrentSince Oct 16, 2024 Accepting new patients
Vpa of Texas PLLC CurrentSince Apr 3, 2024 Accepting new patients
Hannibal Regional Healthcare System, Inc Current Accepting new patients
General John J Pershing Memorial Hospital Association CurrentSince Jan 1, 2026 Accepting new patients
Signify Health, LLC CurrentSince May 23, 2023 Accepting new patients
Vpa of Texas PLLC CurrentSince Apr 3, 2024 Accepting new patients
General John J Pershing Memorial Hospital Association CurrentSince Jan 1, 2026 Accepting new patients
General John J Pershing Memorial Hospital Association CurrentSince Jan 1, 2026 Accepting new patients
Compassionate Healthcare Services LLC CurrentSince Jan 6, 2024 Accepting new patients
Hannibal Regional Healthcare System Inc CurrentSince Oct 16, 2024 Accepting new patients
Fast Lab Technologies LLC PastSince Dec 1, 2024 Accepting new patients

Locations

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

130 E Lockling St
Brookfield, MO 64628
Phone (660) 258-1050

6500 Hospital Dr
Hannibal, MO 63401
Phone (573) 629-3400

2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767

1611 S Baltimore St
#A
Kirksville, MO 63501

1611 S Baltimore St
Kirksville, MO 63501
Phone (660) 372-9595

800 W Jefferson St
Kirksville, MO 63501
Phone (660) 626-2235

101 E Hayward St
Meadville, MO 64659
Phone (660) 938-4213

215 Water St
Brooklyn, NY 11201
Phone (917) 503-9404

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
  • Direct secure messaging: julie.ladd.p1@direct.cfmkv.nextgenshare.com

Organizations & group practices 29

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.

View all 29

Hospital & facility affiliations 2

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": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1154980159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 S BALTIMORE ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014518",
            "telephone_number": "660-665-7575",
            "fax_number": "660-665-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S BALTIMORE ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014518",
            "telephone_number": "660-665-7575",
            "fax_number": "660-665-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADD",
        "first_name": "JULIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019019256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirksville, MO

Sources for this page

Verify at the official NPI Registry.