Individual provider Active NPI

Julia W Trudeau, D.C.

  • Chiropractor
  • Chesapeake, VA
National Provider Identifier
1164510699
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01040001183 Issued in VA
Practice address
801 Volvo Pkwy
Ste 118
Chesapeake, VA 23320-2811
Phone
(757) 469-6677
Fax
(757) 436-6789
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01040001183 VA Primary

Addresses

Primary practice location

801 Volvo Pkwy
Ste 118
Chesapeake, VA 23320-2811

Mailing address

801 Volvo Pkwy
Ste 118
Chesapeake, VA 23320-2811
Phone (757) 469-6677

Other identifiers 2

IdentifierTypeStateIssuer
073646OtherVAANTHEM BCBS
9526633MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070529000401 VA Practitioner - Chiropractic 8820195613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GFC Management GroupGroup PAC ID 7113986779, 2 clinicians

Practice addresses (Care Compare)

801 Volvo Pkwy
Suite 118
Chesapeake, VA 23320-2860
Phone (757) 436-6677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01040001183VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
GFC Management Group Chiropractor CurrentSince May 1, 2007 Accepting new patients
Greenbrier Family Chiropractic Chiropractor PastSince May 1, 2007 Accepting new patients

Locations

801 Volvo Pkwy
Ste 118
Chesapeake, VA 23320
Phone (757) 436-6667

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354233600000",
    "number": "1164510699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 VOLVO PKWY",
            "address_2": "STE 118",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202811",
            "telephone_number": "757-469-6677",
            "fax_number": "757-436-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 VOLVO PKWY",
            "address_2": "STE 118",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202811",
            "telephone_number": "757-469-6677",
            "fax_number": "757-436-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUDEAU",
        "first_name": "JULIA",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2012-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "01040001183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "073646",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9526633",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.