Julie Staats DO Family Medicine PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS12516 Issued in FL

Legal business name

JULIE STAATS DO FAMILY MEDICINE PA

Practice address

2600 Partin Dr N Ste 120
Niceville, FL 32578-1543

Phone

(850) 279-3040

Fax

(850) 279-3312

NPI assigned

Jun 2, 2014

Organization subpart

No

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

Authorized official

Name

Julie Staats, DONPI 1023092525

Title

Owner

Phone

(850) 279-4543

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Anne Staats, DO

  • Family Medicine Physician
  • Niceville, FL
  • NPI 1023092525
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1184036725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 PARTIN DR N STE 120",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781543",
            "telephone_number": "850-279-3040",
            "fax_number": "850-279-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 PARTIN DR N STE 120",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781543",
            "telephone_number": "850-279-3040",
            "fax_number": "850-279-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE STAATS DO FAMILY MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "STAATS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-279-4543",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS12516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sgillett@southernbreezehealthcare.com",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2600 Partin Dr N Ste 120",
            "city": "Niceville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325781543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katherine Jones Roman
• Jenna Jones
• Taryn Celeste Jones, LCSW
• Lisa M Judge, M D
• Julie Staats DO Family Medicine
• Wayne P Justice, MD
• Rochelle Kandler
• Kapil Puri MD P a
• Karen Henard Benhamron, D.C.
• Karena Dawn Karshbaum, RN

• Family Medicine Physician in Niceville, FL
• Providers in Niceville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.

Verify at the official NPI Registry.