Active NPI
Julie Ladd, FNP-C
- Family Nurse Practitioner
- Kirksville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2019019256
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 AssociationHannibal Regional Healthcare System Inc
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
- Hannibal Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1098358 | TX | MD | Physical Therapist |
| 2019019256 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Doc LLC | Current | Accepting new patients | |
| Hannibal Regional Healthcare System, Inc | Current | Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Hannibal Regional Healthcare System, Inc | Current | Accepting new patients | |
| General John J Pershing Memorial Hospital Association | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| General John J Pershing Memorial Hospital Association | Current | Accepting new patients | |
| General John J Pershing Memorial Hospital Association | Current | Accepting new patients | |
| Compassionate Healthcare Services LLC | Current | Accepting new patients | |
| Hannibal Regional Healthcare System Inc | Current | Accepting new patients | |
| Fast Lab Technologies LLC | Past | 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
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
- 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.
-
- Critical Access Hospital
- Brookfield, MO
- NPI 1417991159
MO
-
- Rural Health Clinic/Center
- Brookfield, MO
- NPI 1487616256
MO
-
- Primary Care Clinic/Center
- Brookfield, MO
- NPI 1982612461
MO
-
- Multi-Specialty Clinic/Center
- Hannibal, MO
- NPI 1134311392
MO
-
- Primary Care Clinic/Center
- New Boston, MO
- NPI 1154195139
-
- Multi-Specialty Clinic/Center
- Hannibal, MO
- NPI 1003956095
-
- Rural Health Clinic/Center
- Meadville, MO
- NPI 1285995944
-
- Medicare Defined Swing Bed Hospital Unit
- Brookfield, MO
- NPI 1639197361
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Brookfield, MO
- NPI 1417991159
Hospital
-
- Rural Acute Care Hospital
- Hannibal, MO
- NPI 1922042704
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.