Active NPI
Julie Pavach, NP
- Acute Care Nurse Practitioner
- Montgomery, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- APRN.CNP.11482
- Practice address
- 10506A Montgomery Rd
Ste 301
Montgomery, OH 45242-4400 - Phone
- (513) 246-2400
- NPI assigned
- May 13, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11482 | OH | |
| Acute Care Nurse Practitioner | 363LA2100X | APRN.CNP.11482 | OH | Primary |
Addresses
Primary practice location
10506A Montgomery Rd
Ste 301
Montgomery, OH 45242-4400
Mailing address
10506A Montgomery Rd
Ste 301
Montgomery, OH 45242-4400
Phone (513) 246-2400
Other practice location 1
2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 585-4024
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2565399 | Medicaid | OH | |
| 0064105 | Medicaid | OH |
Other names 1
- Julie Nieman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11482 | OH | MD | Nurse Practitioner |
| APRN.CNP.11482 | OH | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trihealth G LLC | Nurse Practitioner | Current | Accepting new patients |
| Qualified Emergency Specialists Inc | Nurse Practitioner | Current | Accepting new patients |
| Trihealth H LLC | Nurse Practitioner | Current | Accepting new patients |
| Trihealth G, LLC | Current | Accepting new patients | |
| K&G Dedicated Long-Term Care Associates LLC | Current | Accepting new patients |
Locations
2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406
2155 Dana Ave
Cincinnati, OH 45207
Phone (513) 601-0600
9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750
2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200
375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452
375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432
707 S Edwin C Moses Blvd
Dayton, OH 45417
Phone (937) 221-8000
10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206
10506 Montgomery Rd
Ste 301
Montgomery, OH 45242
10506B Montgomery Rd
Montgomery, OH 45242
Phone (513) 346-5170
10506 Montgomery Rd
Ste 200A
Montgomery, OH 45242
Phone (513) 246-2343
Interoperability endpoints
- jpavach245453@direct.trihealth.com
Organizations & group practices 5
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.
-
- Hospitalist Physician
- Cincinnati, OH
- NPI 1730735069
-
- Emergency Medicine Physician
- Cincinnati, OH
- NPI 1700872728
Nurse Practitioner
-
- Community/Retail Pharmacy
- Cincinnati, OH
- NPI 1184023640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1194043141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10506A MONTGOMERY RD",
"address_2": "STE 301",
"city": "MONTGOMERY",
"state": "OH",
"postal_code": "452424400",
"telephone_number": "513-246-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10506A MONTGOMERY RD",
"address_2": "STE 301",
"city": "MONTGOMERY",
"state": "OH",
"postal_code": "452424400",
"telephone_number": "513-246-2400"
}
],
"practiceLocations": [
{
"address_1": "2139 Auburn Ave",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452192906",
"country_code": "US",
"telephone_number": "513-585-4024",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAVACH",
"first_name": "JULIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-13",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "11482",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "APRN.CNP.11482",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2565399",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0064105",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "NIEMAN",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Montgomery, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.