Individual provider Active NPI

Julia Johnson, R.N.C.N.P.

  • Women's Health Nurse Practitioner
  • Newburgh, IN
National Provider Identifier
1295068088
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
71000632A Issued in IN
Practice address
4199 Gateway Blvd
Suite 2500
Newburgh, IN 47630-8940
Phone
(812) 471-0045
Fax
(812) 476-2383
NPI assigned
Sep 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 71000632A IN Primary

Addresses

Primary practice location

4199 Gateway Blvd
Suite 2500
Newburgh, IN 47630-8940

Mailing address

4199 Gateway Blvd
Suite 2500
Newburgh, IN 47630-8940
Phone (812) 471-0045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100304001052 IN Practitioner - Nurse Practitioner 4880739531 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Health Care, PC Current Accepting new patients
Women'S Health Care, PC CurrentSince Jan 16, 2010 Accepting new patients

Locations

4199 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-4200

4199 Gateway Blvd
Ste 3500
Newburgh, IN 47630
Phone (812) 853-2600

4199 Gateway Blvd
Ste 2500
Newburgh, IN 47630
Phone (812) 471-0045

4199 Gateway Blvd
Ste 2300
Newburgh, IN 47630
Phone (812) 858-4610

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1295068088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4199 GATEWAY BLVD",
            "address_2": "SUITE 2500",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308940",
            "telephone_number": "812-471-0045",
            "fax_number": "812-476-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4199 GATEWAY BLVD",
            "address_2": "SUITE 2500",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308940",
            "telephone_number": "812-471-0045",
            "fax_number": "812-476-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JULIA",
        "name_prefix": "Mrs.",
        "credential": "R.N.C.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "71000632A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.