Individual provider Active NPI

Julia Mae Show, CRNP

  • Pediatric Nurse Practitioner
  • Cumberland, MD
National Provider Identifier
1245543545
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
SP009996 Issued in PA
Practice address
915 Bishop Walsh Rd
Cumberland, MD 21502-1805
Phone
(301) 777-2722
Fax
(301) 777-2722
NPI assigned
Jul 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X SP009996 PA Primary

Addresses

Primary practice location

915 Bishop Walsh Rd
Cumberland, MD 21502-1805

Mailing address

915 Bishop Walsh Rd
Cumberland, MD 21502-1805
Phone (301) 777-2722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20230919001971 MD Practitioner - Nurse Practitioner 0042674442 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP009996PAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Aug 7, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 7, 2023 Accepting new patients
Privia Medical Group, LLC Current Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Menchavez Pediatrics, LLC Past Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

915 Bishop Walsh Rd
Lavale, MD 21502
Phone (301) 724-7277

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: julia.show.1@8042.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/478/brand/1/csg/1/fhir/r4
  • Direct secure messaging: julia.show.1@478.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443744000000",
    "number": "1245543545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 BISHOP WALSH RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021805",
            "telephone_number": "301-777-2722",
            "fax_number": "301-777-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 BISHOP WALSH RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021805",
            "telephone_number": "301-777-2722",
            "fax_number": "301-777-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOW",
        "first_name": "JULIA",
        "middle_name": "MAE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-15",
        "last_updated": "2015-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP009996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.