Juliana Tacardon, DNP FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

344068 Issued in NY

Practice address

307 Egg Harbor Rd
Sewell, NJ 08080-1850

Phone

(856) 589-1177

NPI assigned

Dec 17, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 15

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ, FL, TX, CT, MN, RI, VA, KY, OH, CA, ME, NH, MD, DC15 enrollments

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 15

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations (25 of 44)

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

Interoperability endpoints

• Direct secure messaging: juliana.tacardon@115443077021700.direct.elationemr.com
• Direct secure messaging: juliana.tacardon.1@24989.direct.athenahealth.com
• Direct secure messaging: julianatacardon@mai.allscriptsdirect.net

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.

• Minuteclinic Diagnostic of New Jersey LLC

  • Family Nurse Practitioner
  • Sewell, NJ
  • NPI 1053353615
  Medicare reassignment NPD
• Allina Health System

  • Family Medicine Physician
  • Annandale, MN
  • NPI 1457657249
  Medicare reassignment NPD
• Lindenwood Medical PC

  • Adult Medicine Physician
  • Staten Island, NY
  • NPI 1811220882
  Medicare reassignment NPD
• Medical Group of New York, P.C.

  • Family Nurse Practitioner
  • Eastchester, NY
  • NPI 1487983516
  Medicare reassignment NPD
• Minuteclinic Diagnostic Medical Group of California Inc

  • Family Nurse Practitioner
  • Burbank, CA
  • NPI 1033309372
  Medicare reassignment NPD
• Minuteclinic Diagnostic Medical Group of Orange County Inc

  • Nurse Practitioner
  • Irvine, CA
  • NPI 1104013879

  Family

  Medicare reassignment NPD
• Minuteclinic Diagnostic Medical Group of San Diego Inc

  • Family Nurse Practitioner
  • El Cajon, CA
  • NPI 1568659233
  Medicare reassignment NPD
• Minuteclinic Diagnostic of Maine, LLC

  • Family Nurse Practitioner
  • South Portland, ME
  • NPI 1740661461
  Medicare reassignment NPD
• Minuteclinic Diagnostic of Ohio LLC

  • Family Nurse Practitioner
  • Hilliard, OH
  • NPI 1699747303
  Medicare reassignment NPD
• Minuteclinic Diagnostic of Virginia LLC

  • Family Nurse Practitioner
  • Leesburg, VA
  • NPI 1417076829

  DC

  Medicare reassignment NPD
• Minuteclinic LLC

  • Family Nurse Practitioner
  • Rockville, MD
  • NPI 1134191836

  DC, FL

  Medicare reassignment NPD
• Minuteclinic Telehealth Services of Texas Association

  • Family Nurse Practitioner
  • Round Rock, TX
  • NPI 1922564301
  Medicare reassignment NPD

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1376964452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 DAVIS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101548",
            "telephone_number": "718-603-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 EGG HARBOR RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080801850",
            "telephone_number": "856-589-1177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Ralph Pl",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103044401",
            "country_code": "US",
            "telephone_number": "718-954-2202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 ST.MARK'S PLACE",
            "address_purpose": "LOCATION",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10301",
            "country_code": "US",
            "telephone_number": "718-727-8667",
            "fax_number": "718-727-9525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Cvs Dr",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "028956146",
            "country_code": "US",
            "telephone_number": "401-765-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19305 Ruby Dr",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201766508",
            "country_code": "US",
            "telephone_number": "571-333-5918",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1855 Gattis School Rd",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786647428",
            "country_code": "US",
            "telephone_number": "512-238-6268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4961 Roberts Rd",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430268129",
            "country_code": "US",
            "telephone_number": "614-850-2407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1054 Cass Ave",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "028954935",
            "country_code": "US",
            "telephone_number": "401-765-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "511 N Hollywood Way",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915053406",
            "country_code": "US",
            "telephone_number": "818-841-0710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "323 Cromwell Ave",
            "address_purpose": "LOCATION",
            "city": "Rocky Hill",
            "state": "CT",
            "postal_code": "060671801",
            "country_code": "US",
            "telephone_number": "860-563-9393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1545 Pulaski Hwy",
            "address_purpose": "LOCATION",
            "city": "Bear",
            "state": "DE",
            "postal_code": "197011303",
            "country_code": "US",
            "telephone_number": "302-832-8701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12280 Lake Underhill Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328255009",
            "country_code": "US",
            "telephone_number": "407-273-3284",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11729 Roe Ave",
            "address_purpose": "LOCATION",
            "city": "Leawood",
            "state": "KS",
            "postal_code": "662112605",
            "country_code": "US",
            "telephone_number": "913-345-8404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2311 Lime Kiln Ln",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402223460",
            "country_code": "US",
            "telephone_number": "502-425-4044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7955 Tuckerman Ln",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208543243",
            "country_code": "US",
            "telephone_number": "301-299-3717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "51 Market St",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "041063617",
            "country_code": "US",
            "telephone_number": "207-799-8166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Hall St",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033013414",
            "country_code": "US",
            "telephone_number": "603-224-3189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 S Country Rd",
            "address_purpose": "LOCATION",
            "city": "Bellport",
            "state": "NY",
            "postal_code": "117132523",
            "country_code": "US",
            "telephone_number": "631-286-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1218 E Lancaster Ave",
            "address_purpose": "LOCATION",
            "city": "Bryn Mawr",
            "state": "PA",
            "postal_code": "190102616",
            "country_code": "US",
            "telephone_number": "610-519-1920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TACARDON",
        "first_name": "JULIANA",
        "name_prefix": "Mrs.",
        "credential": "DNP FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-17",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "640481",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01400700",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023762",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "10827",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11018009",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-82441-062",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0012364",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0035859",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4017060",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC005518",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP231070",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "091030-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN03744",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344068",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.