Individual provider Active NPI

Julie M. Daley, RN MS CDE

  • Diabetes Educator Registered Nurse
  • Providence, RI
National Provider Identifier
1376670505
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
22131 Issued in RI
Practice address
101 Dudley St
Women & Infants' Hospital
Providence, RI 02905-2401
Phone
(401) 274-1122
Fax
(401) 159-0108
NPI assigned
Feb 27, 2007
Last updated
Sep 5, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X 22131 RI Primary

Addresses

Primary practice location

101 Dudley St
Women & Infants' Hospital
Providence, RI 02905-2401

Mailing address

251 Capron Farm Dr
Warwick, RI 02886-7739
Phone (401) 274-1122

Other identifiers 3

IdentifierTypeStateIssuer
405821OtherRIBLUCHP
25436-2OtherRIBLUC CROSSBLUE SHIELD
63-00094OtherRIUNITED HEALTH CARE

Other names 1

  • Julie M Slocum Former name

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, Registered Nurse

State licenses

LicenseStateTypeSpecialty
22131RIMDDiabetes Educator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physicians LLC. Current Accepting new patients

Locations

101 Dudley St
Providence, RI 02905
Phone (401) 453-7950

Interoperability endpoints

  • Direct secure messaging: jdaley@wih.cernerdirect.carene.org
  • Direct secure messaging: jdaley9451@direct.carene.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1376670505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 CAPRON FARM DR",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028867739",
            "telephone_number": "401-274-1122",
            "fax_number": "401-459-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DUDLEY ST",
            "address_2": "WOMEN & INFANTS' HOSPITAL",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029052401",
            "telephone_number": "401-274-1122",
            "fax_number": "401-159-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALEY",
        "first_name": "JULIE",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "RN MS CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "RI",
            "license": "22131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUCHP",
            "identifier": "405821",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUC CROSSBLUE SHIELD",
            "identifier": "25436-2",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "63-00094",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "SLOCUM",
            "middle_name": "M",
            "credential": "RN MS CDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.