Individual provider Active NPI

Julian Urquiola, CFTS

  • Specialist
  • Memphis, TN
National Provider Identifier
1164847182
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
CFTS1623 Issued in TN
Practice address
3835 Viscount Ave
Suite 1
Memphis, TN 38118-6052
Phone
(901) 365-1100
Fax
(901) 365-2255
NPI assigned
Feb 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X CFTS1623 TN Primary

Addresses

Primary practice location

3835 Viscount Ave
Suite 1
Memphis, TN 38118-6052

Mailing address

3835 Viscount Ave
Suite 1
Memphis, TN 38118-6052
Phone (901) 365-1100

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CFTS1623TNMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1164847182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 VISCOUNT AVE",
            "address_2": "SUITE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381186052",
            "telephone_number": "901-365-1100",
            "fax_number": "901-365-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 VISCOUNT AVE",
            "address_2": "SUITE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381186052",
            "telephone_number": "901-365-1100",
            "fax_number": "901-365-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URQUIOLA",
        "first_name": "JULIAN",
        "name_prefix": "Mr.",
        "credential": "CFTS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "CFTS1623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.