Individual provider Active NPI

Julie A Ulloa-Michaelis, M.D.

  • Internal Medicine Physician
  • Spokane, WA
National Provider Identifier
1346267036
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00049275 Issued in WA
Practice address
820 S. McClellan St
Ste 200
Spokane, WA 99204-2456
Phone
(509) 747-1144
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A77057 CA
Internal Medicine Physician 207R00000X MD00049275 WA Primary

Addresses

Primary practice location

820 S. McClellan St
Ste 200
Spokane, WA 99204-2456

Mailing address

101 W 8TH Ave
Mother Gamelin Ctr, 3Rd Floor
Spokane, WA 99204-2307
Phone (509) 747-1144

Other identifiers 1

IdentifierTypeStateIssuer
00A770570MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address julloamichaelis206611@wm.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080721000800 WA Practitioner - Internal Medicine 7618973728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loma Linda University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1200 E Columbia Ave
Colville, WA 99114-3354
Phone (509) 684-3701

820 S McClellan St
Suite 200
Spokane, WA 99204-2456
Phone (509) 343-4306

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington Internal Medicine CurrentSince Jun 1, 2012 Accepting new patients
Providence Health & Services Washington CurrentSince Jun 1, 2012 Accepting new patients
Loma Linda University Physicians Medical Group Inc Internal Medicine Past Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

101 W 8th Ave
Fl 3
Spokane, WA 99204
Phone (509) 474-2277

820 S McClellan St
Ste 200
Spokane, WA 99204
Phone (509) 747-1144

820 S McClellan St
Ste LL10
Spokane, WA 99204
Phone (509) 353-3973

820 S McClellan St
Ste 421
Spokane, WA 99204
Phone (508) 353-3950

Organizations & group practices 4

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 2

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1346267036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W 8TH AVE",
            "address_2": "MOTHER GAMELIN CTR, 3RD FLOOR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042307",
            "telephone_number": "509-747-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S. MCCLELLAN ST",
            "address_2": "STE 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042456",
            "telephone_number": "509-747-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULLOA-MICHAELIS",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A77057",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00049275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A770570",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "julloamichaelis206611@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "820 S. McClellan St",
            "address_2": "STE 200",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992042456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.