Individual provider Active NPI

Julia Hales, APRN, MSN, FNP-C

  • Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1376178632
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11007576 Issued in FL
Practice address
1399 Jenks Ave
Panama City, FL 32401-2442
Phone
(850) 771-2001
NPI assigned
Mar 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9426812 FL
Student in an Organized Health Care Education/Training Program 390200000X
Nurse Practitioner 363L00000X APRN11007576 FL Primary

Addresses

Primary practice location

1399 Jenks Ave
Panama City, FL 32401-2442

Mailing address

7706 Cambridge CT
Panama City, FL 32404-4278
Phone (850) 527-3766

Other practice location 1

449 W 23rd St
Panama City, FL 32405-4507
Phone (850) 769-8341

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
I20200721004068 FL Practitioner - Nurse Practitioner 0345664587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Orthopedic Spine Surgery LLCGroup PAC ID 6305191057, 3 clinicians

Practice addresses (Care Compare)

1399 Jenks Ave
BLDG G
Panama City, FL 32401-2596
Phone 8507712001107

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9426812FLMDRegistered Nurse
APRN11007576FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Orthopedic Spine Surgery, LLC CurrentSince Jun 15, 2020 Accepting new patients

Locations

449 W 23rd St
Panama City, FL 32405
Phone (850) 747-7900

1399 Jenks Ave
Ste G
Panama City, FL 32401
Phone (850) 771-2001

1399 Jenks Ave
Bldg G
Panama City, FL 32401
Phone (850) 771-2001

1399 Jenks Ave
Panama City, FL 32401
Phone (850) 771-2001

Interoperability endpoints

  • Direct secure messaging: julia.hales.1@17921.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17921/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1376178632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7706 CAMBRIDGE CT",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324044278",
            "telephone_number": "850-527-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012442",
            "telephone_number": "850-771-2001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "449 W 23rd St",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324054507",
            "country_code": "US",
            "telephone_number": "850-769-8341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALES",
        "first_name": "JULIA",
        "credential": "APRN, MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9426812",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11007576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.