Individual provider Active NPI

Julia R Smith

  • Family Nurse Practitioner
  • Washington, IN
National Provider Identifier
1285104349
Registry record updated Jan 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008557A Issued in IN
Practice address
1805 S State Road 57
Washington, IN 47501-4326
Phone
(812) 254-7845
NPI assigned
Dec 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2021

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 71008557A IN Primary

Addresses

Primary practice location

1805 S State Road 57
Washington, IN 47501-4326

Mailing address

PO Box 760
Washington, IN 47501-0760
Phone (812) 254-2760

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address juliasmith@dchpm.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190124003660 IN Practitioner - Nurse Practitioner 2567709819 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Daviess County Hospital CurrentSince Jan 1, 2019 Accepting new patients
Daviess County Hospital CurrentSince Jan 1, 2019 Accepting new patients
Daviess County Hospital Current Accepting new patients

Locations

1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250

1805 S State Road 57
Washington, IN 47501
Phone (812) 254-7845

Interoperability endpoints

  • Direct secure messaging: julia.smith.1@32316.direct.athenahealth.com

Organizations & group practices 3

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": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609545600000",
    "number": "1285104349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 760",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475010760",
            "telephone_number": "812-254-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 S STATE ROAD 57",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475014326",
            "telephone_number": "812-254-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JULIA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-03",
        "last_updated": "2021-01-02",
        "certification_date": "2021-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008557A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "juliasmith@dchpm.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1805 S State Road 57",
            "city": "Washington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "475014326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, IN

Sources for this page

Verify at the official NPI Registry.