Active NPI
Julie Ann Dubois, M.S.
- Audiologist
- Fairfax, VA
National Provider Identifier
1174686281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2201001243
- Practice address
- 8316 Arlington Blvd
Suite 300
Fairfax, VA 22031-5207 - Phone
- (703) 573-7600
- Fax
- (703) 560-3808
- NPI assigned
- Dec 19, 2006
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2201001243 | VA | Primary |
Addresses
Primary practice location
8316 Arlington Blvd
Suite 300
Fairfax, VA 22031-5207
Mailing address
8316 Arlington Boulevard
Suite 300
Fairfax, VA 22031-5216
Phone (703) 573-7600
Other practice location 1
1 Childrens Pl
Saint Louis, MO 63110-1002
Phone (314) 454-3276
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2201001243 | VA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Louis Childrens Hospital | Audiologist | Current | Accepting new patients |
| St. Louis Childrens Hospital | Current | Accepting new patients | |
| Ear Nose & Throat & Plastic Surg Inc | Past | Accepting new patients | |
| Metropolitan Plastic Surgery PC | Past | Accepting new patients |
Locations
1 Childrens Pl
Ste 3S23
Saint Louis, MO 63110
Phone (314) 454-2519
1 Childrens Pl
Saint Louis, MO 63110
Phone (314) 454-2076
Interoperability endpoints
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 4
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Saint Louis, MO
- NPI 1710909486
-
- Facial Plastic Surgery Physician
- Saint Louis, MO
- NPI 1104911288
-
- Plastic and Reconstructive Surgery Physician
- St Peters, MO
- NPI 1184601569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635897600000",
"number": "1174686281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8316 ARLINGTON BOULEVARD",
"address_2": "SUITE 300",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220315216",
"telephone_number": "703-573-7600",
"fax_number": "703-560-3808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8316 ARLINGTON BLVD",
"address_2": "SUITE 300",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220315207",
"telephone_number": "703-573-7600",
"fax_number": "703-560-3808"
}
],
"practiceLocations": [
{
"address_1": "1 Childrens Pl",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631101002",
"country_code": "US",
"telephone_number": "314-454-3276",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUBOIS",
"first_name": "JULIE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2021-11-03",
"certification_date": "2021-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "VA",
"license": "2201001243",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1 Childrens Pl",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631101002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.