Individual provider Active NPI

Julia R Strong, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Centreville, MD
National Provider Identifier
1164556734
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R057236 Issued in MD
Practice address
120 Banjo LN
Centreville, MD 21617-1002
Phone
(410) 758-2211
Fax
(410) 758-0698
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R057236 MD Primary

Addresses

Primary practice location

120 Banjo LN
Centreville, MD 21617-1002

Mailing address

120 Banjo LN
Centreville, MD 21617-1002
Phone (410) 758-2211

Other identifiers 1

IdentifierTypeStateIssuer
419509400MedicaidMD

Other names 1

  • Julia Lewis Former name

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20100526000894 MD Practitioner - Nurse Practitioner 5890823504 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peace of Mind Mental Health Services LLC CurrentSince Jan 4, 2020 Accepting new patients
For All Seasons, Inc. Past Accepting new patients

Locations

29315 Erickson Dr
Easton, MD 21601
Phone (410) 690-8181

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1164556734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BANJO LN",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216171002",
            "telephone_number": "410-758-2211",
            "fax_number": "410-758-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BANJO LN",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216171002",
            "telephone_number": "410-758-2211",
            "fax_number": "410-758-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRONG",
        "first_name": "JULIA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "CRNP-PMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R057236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "419509400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "LEWIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Centreville, MD

Sources for this page

Verify at the official NPI Registry.