Julie Renee Ludlum, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

209018051 Issued in IL

Practice address

2709 Broadway St
Pekin, IL 61554-2676

Phone

(309) 680-7600

Fax

(309) 353-3334

NPI assigned

Aug 1, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1376021469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 N UNIVERSITY ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616043221",
            "telephone_number": "309-680-7669",
            "fax_number": "309-681-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 BROADWAY ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615542676",
            "telephone_number": "309-680-7600",
            "fax_number": "309-353-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDLUM",
        "first_name": "JULIE",
        "middle_name": "RENEE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209018051",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "041281867",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL RN LICENSE",
            "identifier": "041281867",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane A Lindsey, BS MHP
• Elizabeth Ann Link
• Sherry L Litwiller, P. T.
• Brande Lee Lochbaum, BS
• Jamarise L Loveless, BS
• Nancy Maas
• Briana Lynn Mabis
• Cody Maddock
• Yves Raymond Makhoul, M.D.
• James Marrs

• Advanced Practice Midwife in Pekin, IL
• Providers in Pekin, IL by specialty
• Advanced Practice Midwife in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.