Individual provider Active NPI

Julie Thornburg, APRN

  • Family Nurse Practitioner
  • Wellington, FL
National Provider Identifier
1306332333
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11025198 Issued in FL
Practice address
1037 S State Road 7 Ste 113
Wellington, FL 33414-6139
Phone
(561) 798-3030
Fax
(561) 798-8242
NPI assigned
Jul 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9377422 FL
Family Nurse Practitioner 363LF0000X APRN11025198 FL Primary

Addresses

Primary practice location

1037 S State Road 7 Ste 113
Wellington, FL 33414-6139

Mailing address

425 W Colonial Dr Ste 303
Orlando, FL 32804-6863
Phone (561) 798-3030

Other identifiers 1

IdentifierTypeStateIssuer
RN9377422OtherFLREGISTERED NURSE

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
I20230615002281 FL Practitioner - Nurse Practitioner 6709244254 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovacare Florida Urgent Care, LLCGroup PAC ID 1557802840, 20 clinicians
Innovacare Florida Physicians LLCGroup PAC ID 0244611382, 17 clinicians

Practice addresses (Care Compare)

1037 S State Rd
7 Suite 113
Wellington, FL 33414-6139
Phone (561) 798-3030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9377422FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Innovacare Florida Physicians, LLC CurrentSince Jun 5, 2023 Accepting new patients
Premier Urgent Care Center, LLC CurrentSince Jun 5, 2023 Accepting new patients
Premier Family Health CurrentSince Jun 5, 2023 Accepting new patients
Premier Physician Holdings, LLC CurrentSince Jun 5, 2023 Accepting new patients
Innovacare Florida Urgent Care, LLC CurrentSince Aug 31, 2024 Accepting new patients
My Community Pharmacy LLC Past Accepting new patients

Locations

15689 Southern Blvd
Unit 102
Loxahatchee, FL 33470

15689 Southern Blvd
Unit 101
Lxhtchee Grvs, FL 33470
Phone (561) 614-1116

425 W Colonial Dr
Ste 303
Orlando, FL 32804
Phone (321) 332-6947

6900 Tavistock Lakes Blvd
Ste 300
Orlando, FL 32827
Phone (321) 332-6947

1037 S State Road 7
Ste 211
Wellington, FL 33414
Phone (561) 798-8300

1037 S State Road 7
Ste 113
Wellington, FL 33414

Interoperability endpoints

  • Direct secure messaging: julie.thornburg.1@27472.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/27472/brand/9/csg/1/fhir/r4

Organizations & group practices 6

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": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1306332333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W COLONIAL DR STE 303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046863",
            "telephone_number": "561-798-3030",
            "fax_number": "561-798-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 S STATE ROAD 7 STE 113",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146139",
            "telephone_number": "561-798-3030",
            "fax_number": "561-798-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNBURG",
        "first_name": "JULIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9377422",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11025198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "RN9377422",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.