Julie Ann Archer, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-065143 Issued in AL

Practice address

211 Ana Dr
Florence, AL 35630-1768

Phone

(256) 767-2510

Fax

(256) 767-2778

NPI assigned

Sep 4, 2008

Last updated

Sep 4, 2008By the provider in NPPES

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

Other names 1

• Miss Julie Ann Creasy Former name

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shoals Primary Care, LLCGroup PAC ID 1557406246, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shoals Primary Care, LLC

  • Family Medicine Physician
  • Sheffield, AL
  • NPI 1326373861
  Medicare reassignment Care Compare group NPD
• Shoals Ear Nose & Throat Group PC

  • Otolaryngology Physician
  • Sheffield, AL
  • NPI 1124105671
  NPD

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1215185046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 COUNTY ROAD 6",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356332233",
            "telephone_number": "256-766-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 ANA DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301768",
            "telephone_number": "256-767-2510",
            "fax_number": "256-767-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-065143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "CREASY",
            "middle_name": "ANN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anesthesiology Consultants of the Shoals
• Elyse Angel, PHARMD
• Applied Insight ABA
• Andrea Aquadro, PA
• Ralph L Aquadro Jr., MD
• Arnett Carraby MD PC
• Connie M Arnold, CRNP
• Misti Deaira Ashley, LPC
• Pamela Caffey Ashley, R.PH.
• Timothy Dale Ashley Jr., M.D.

• Family Nurse Practitioner in Florence, AL
• Providers in Florence, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.