Julie Illeck, RN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

9283023 Issued in FL

Practice address

9856 Grand Verde Way
#1305
Boca Raton, FL 33428-3522

Phone

(561) 716-5599

NPI assigned

Feb 5, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425600000000",
    "number": "1174914618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9856 GRAND VERDE WAY",
            "address_2": "#1305",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334283522",
            "telephone_number": "561-716-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9856 GRAND VERDE WAY",
            "address_2": "#1305",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334283522",
            "telephone_number": "561-716-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILLECK",
        "first_name": "JULIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9283023",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9283023",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "9283023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idental of Boca Raton, PLLC
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• Iliria Home Health LLC
• Raleigh Illig, MS, ATC
• Safia Ilyas, M.D.
• Ima of South Florida LLC
• Imed Diagnostic Services of Southeast Florida LLC
• Asmau Amatullah Imhotep

• Primary Care Nurse Practitioner in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.