Individual provider Active NPI

Julian Villalobos

  • Social Worker
  • Lawrence, KS
National Provider Identifier
1184130247
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
10720 Issued in KS
Practice address
1605 Davis Rd
Lawrence, KS 66046-3233
Phone
(785) 382-5760
NPI assigned
Dec 26, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 10720 KS Primary

Addresses

Primary practice location

1605 Davis Rd
Lawrence, KS 66046-3233

Mailing address

200 Maine St Ste a
Lawrence, KS 66044-1396

Other practice location 1

1942 Stewart Ave
Lawrence, KS 66046-2531
Phone (316) 841-1971

Other practice location 2

2711 Kensington Rd
Lawrence, KS 66046-8218
Phone (785) 832-5740

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
10720KSMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1184130247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAINE ST STE A",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 DAVIS RD",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660463233",
            "telephone_number": "785-382-5760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1942 Stewart Ave",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660462531",
            "country_code": "US",
            "telephone_number": "316-841-1971",
            "fax_number": "316-841-1971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2711 Kensington Rd",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660468218",
            "country_code": "US",
            "telephone_number": "785-832-5740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLALOBOS",
        "first_name": "JULIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "10720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.