Active NPI
Julie Lea Ward, N.P.
- Family Nurse Practitioner
- Colorado Springs, CO
National Provider Identifier
1164558219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 89190
- Practice address
- 6820 Centennial Blvd
Colorado Springs, CO 80919-5114 - Phone
- (855) 925-4733
- Fax
- (719) 266-6111
- NPI assigned
- Feb 25, 2007
- 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 | 89190 | CO | Primary |
Addresses
Primary practice location
6820 Centennial Blvd
Colorado Springs, CO 80919-5114
Mailing address
513 Anaconda Dr
Colorado Springs, CO 80919-1602
Phone (719) 406-6057
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91171288 | Medicaid | CO |
Other names 1
- Mrs. Julie Lea Klenke
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89190 | CO | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383091200000",
"number": "1164558219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 ANACONDA DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809191602",
"telephone_number": "719-406-6057",
"fax_number": "719-266-6111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6820 CENTENNIAL BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809195114",
"telephone_number": "855-925-4733",
"fax_number": "719-266-6111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "JULIE",
"middle_name": "LEA",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-25",
"last_updated": "2013-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "89190",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "91171288",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "KLENKE",
"middle_name": "LEA",
"prefix": "MRS.",
"credential": "N.P.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.