Active NPI
Julia Ann Dam, MSN, APRN, CPNP-PC
- Pediatric Nurse Practitioner
- Land O Lakes, FL
National Provider Identifier
1336723451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 11013024
- Practice address
- 3823 Fieldflower CT
Land O Lakes, FL 34639-4562 - Phone
- (813) 245-1071
- NPI assigned
- May 6, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 11013024 | FL | Primary |
Addresses
Primary practice location
3823 Fieldflower CT
Land O Lakes, FL 34639-4562
Mailing address
3823 Fieldflower CT
Land O Lakes, FL 34639-4562
Phone (813) 245-1071
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11013024 | FL | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620259200000",
"number": "1336723451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3823 FIELDFLOWER CT",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346394562",
"telephone_number": "813-245-1071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3823 FIELDFLOWER CT",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346394562",
"telephone_number": "813-245-1071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAM",
"first_name": "JULIA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MSN, APRN, CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-06",
"last_updated": "2021-05-06",
"certification_date": "2021-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "11013024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Land O Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.