Individual provider Active NPI

Julie Purisima, WHNP

  • Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1245520626
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024169325 Issued in VA
Practice address
7101 Jahnke Rd Ste 1054
Richmond, VA 23225-4017
Phone
(804) 231-9691
Fax
(804) 231-2241
NPI assigned
Apr 19, 2011
Last updated
Oct 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 0024169325 VA
Nurse Practitioner 363L00000X 0024169325 VA Primary

Addresses

Primary practice location

7101 Jahnke Rd Ste 1054
Richmond, VA 23225-4017

Mailing address

PO Box 403744
Atlanta, GA 30384-3744
Phone (804) 231-9691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20211123001896 VA Practitioner - Nurse Practitioner 2264821750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John Randolph OB/GYN, LLCGroup PAC ID 3577580539, 5 clinicians

Practice addresses (Care Compare)

7101 Jahnke Rd
Suite 1054
Richmond, VA 23225-4017
Phone (804) 231-9691

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024169325VAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
John Randolph OB/GYN, LLC CurrentSince Dec 1, 2021 Accepting new patients
Complete Care Center for Women, LLC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

12220 Iron Bridge Rd
Ste A
Chester, VA 23831
Phone (804) 706-5827

7101 Jahnke Rd
Ste 1054
Richmond, VA 23225
Phone (804) 231-9691

7101 Jahnke Rd
Ste 280
Richmond, VA 23225
Phone (804) 272-5508

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/610/brand/3/csg/45/fhir/r4
  • Direct secure messaging: julie.purisima@hca6.eclinicaldirectplus.com
  • Direct secure messaging: julie.purisima@jrogp-va.direct.office.nextgen.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1245520626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 403744",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303843744",
            "telephone_number": "804-231-9691",
            "fax_number": "804-231-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 JAHNKE RD STE 1054",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254017",
            "telephone_number": "804-231-9691",
            "fax_number": "804-231-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURISIMA",
        "first_name": "JULIE",
        "name_prefix": "Mrs.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-19",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "VA",
            "license": "0024169325",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024169325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.