Individual provider Active NPI

Julia Fuller, APRN

  • Adult Health Nurse Practitioner
  • Sebastian, FL
National Provider Identifier
1255971644
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11005736 Issued in FL
Practice address
14430 US Highway 1 Ste 101
Sebastian, FL 32958-3289
Phone
(772) 597-1644
NPI assigned
Jan 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11005736 FL
Adult Health Nurse Practitioner 363LA2200X APRN11005736 FL Primary

Addresses

Primary practice location

14430 US Highway 1 Ste 101
Sebastian, FL 32958-3289

Mailing address

14430 US Highway 1 Ste 101
Sebastian, FL 32958-3289
Phone (772) 581-8003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210727000828 FL Practitioner - Nurse Practitioner 7810390945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

14430 US Hwy 1
Suite 101
Sebastian, FL 32958-3289
Phone (772) 581-8003

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11005736FLMDAdult Health Nurse Practitioner
11005736FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Apr 24, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Jul 31, 2021 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Apr 24, 2025 Accepting new patients
Steward Medical Group, Inc. CurrentSince Jul 31, 2021 Accepting new patients
Stewart and Stewart a Medical Corporation Past Accepting new patients

Locations

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

14430 US Highway 1
Ste 101
Sebastian, FL 32958
Phone (772) 581-0478

3745 11th Cir
Ste 105
Vero Beach, FL 32960
Phone (772) 564-2485

Interoperability endpoints

  • Direct secure messaging: julia.fuller.1@15594.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.

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": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1255971644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14430 US HIGHWAY 1 STE 101",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583289",
            "telephone_number": "772-581-8003",
            "fax_number": "772-581-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14430 US HIGHWAY 1 STE 101",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583289",
            "telephone_number": "772-597-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "JULIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11005736",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11005736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

Verify at the official NPI Registry.