Julie Peckham

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Practice address

1134 Morgan Cir E
Orange Park, FL 32073-3961

Phone

(904) 866-2986

NPI assigned

Jan 25, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1174980924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 MORGAN CIR E",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320733961",
            "telephone_number": "904-866-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 MORGAN CIR E",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320733961",
            "telephone_number": "904-866-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECKHAM",
        "first_name": "JULIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Pearson, PT
• David Craig Pearson, M.D.
• Harold William Pearson, M.D.
• Marilyn Pearson, DDS
• Richard A Pearson, DDS
• Russell Anthony Pecoraro, MD
• John P Peden, DDS
• Mackenzie Pederson
• Pediatrix Medical Group of Florida Inc
• Pediatrix Medical Group of Florida, Inc

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.