Individual provider Active NPI

Julia Maynard, CRNP

  • Family Nurse Practitioner
  • Madison, AL
National Provider Identifier
1245012996
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-178434 Issued in AL
Practice address
8121 Madison Blvd Ste 101a
Madison, AL 35758-2082
Phone
(256) 325-0041
Fax
(256) 325-0042
NPI assigned
Oct 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-178434 AL Primary

Addresses

Primary practice location

8121 Madison Blvd Ste 101a
Madison, AL 35758-2082

Mailing address

8121 Madison Blvd Ste 101a
Madison, AL 35758-2082
Phone (256) 325-0041

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231212003581 AL Practitioner - Nurse Practitioner 3577912898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Caton Family Physician Care PC CurrentSince Nov 1, 2023 Accepting new patients

Locations

8121 Madison Blvd
Ste 101A
Madison, AL 35758
Phone (256) 325-0041

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23788/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1245012996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8121 MADISON BLVD STE 101A",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582082",
            "telephone_number": "256-325-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8121 MADISON BLVD STE 101A",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582082",
            "telephone_number": "256-325-0041",
            "fax_number": "256-325-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "JULIA",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-178434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.