Julie Marie Resnik, R.N., B.S.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

E56706 Issued in CT

Practice address

3 Willi LN
Ellington, CT 06029-2506

Phone

(860) 930-9814

Fax

(860) 812-2244

NPI assigned

Jan 1, 2019

Last updated

Jan 1, 2019By 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 4

Addresses

Other identifiers 1

Other names 1

• Julie Marie Frederich Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1546300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546300800000",
    "number": "1225500200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WILLI LN",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060292506",
            "telephone_number": "860-930-9814",
            "fax_number": "860-812-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WILLI LN",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060292506",
            "telephone_number": "860-930-9814",
            "fax_number": "860-812-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESNIK",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "credential": "R.N., B.S.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-01",
        "last_updated": "2019-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "E56706",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NJ",
            "license": "4234935",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CT",
            "license": "NONE",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "WI",
            "license": "2005457394",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "I DONT HAVE THEM",
            "identifier": "E56706",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "FREDERICH",
            "middle_name": "MARIE",
            "credential": "R.N., B.S.N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julia Christine Pepitone, CCC-SLP
• Lindsey Perrotti, DPT
• Lauren Jill Powers, DMD
• Rosemary Bonner Ragle, MS, ATC
• Brian Reid
• Restore Wellness LLC
• Mary M Robbins, PH.D., PA-C
• Robert R Palozej OD, LLC
• Diane Roberto-Nichols, APRN
• Jessica Russell, LCSW

• Registered Nurse in Ellington, CT
• Providers in Ellington, CT by specialty
• Registered Nurse in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2019; 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.