Individual provider Active NPI

Julianne Miles Tondreau, FNP

  • Family Nurse Practitioner
  • Oxford, NC
National Provider Identifier
1386047223
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5007245 Issued in NC
Practice address
112 Wall St
Oxford, NC 27565-3255
Phone
(919) 339-1641
Fax
(984) 464-7709
NPI assigned
Oct 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5007245 NC
Pediatrics Physician 208000000X 5007245 NC
Family Health Clinical Nurse Specialist 364SF0001X 5007245 NC
Family Nurse Practitioner 363LF0000X 5007245 NC Primary

Addresses

Primary practice location

112 Wall St
Oxford, NC 27565-3255

Mailing address

112 Wall St
Oxford, NC 27565-3255
Phone (919) 339-1641

Other practice location 1

112 Wall Street
Oxford, NC 27565
Phone (919) 339-1641

Other practice location 2

903 S Beckford Dr
Henderson, NC 27536-5908
Phone (252) 654-1020

Other names 1

  • Julianne Miles Ward Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20151221000917 NC Practitioner - Nurse Practitioner 2264733021 Reassigns benefits to 1 organization
I20200615002955 VA Practitioner - Nurse Practitioner 2264733021

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

112 Wall St
Oxford, NC 27565-3255
Phone (919) 339-1641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5007245NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Roanoke Valley Healthcare Partners, LLC Family Medicine CurrentSince May 4, 2024 Accepting new patients
Hygenerate Integrative LLC Family CurrentSince Nov 25, 2022 Accepting new patients
Hygenerate LLC Family Medicine CurrentSince Nov 25, 2022 Accepting new patients
Texan Urgent Care PLLC PastSince Jun 6, 2021 Accepting new patients
Arizona Pulmonary Specialists LTD PastSince Jan 1, 1997 Accepting new patients

Locations

112 Wall St
Oxford, NC 27565
Phone (919) 339-1641

11845 Retail Dr
Wake Forest, NC 27587
Phone (860) 578-4811

4101 Dominion Blvd
Glen Allen, VA 23060
Phone (804) 747-5555

4101 Dominion Blvd
Ste 300
Glen Allen, VA 23060
Phone (804) 747-5555

12731 Stone Village Way
Midlothian, VA 23113
Phone (804) 379-1500

Interoperability endpoints

  • Direct secure messaging: julianne.tondreau@202362935902212.direct.elationemr.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71750

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1386047223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WALL ST",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275653255",
            "telephone_number": "919-339-1641",
            "fax_number": "984-464-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WALL ST",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275653255",
            "telephone_number": "919-339-1641",
            "fax_number": "984-464-7709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Wall Street",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "NC",
            "postal_code": "27565",
            "country_code": "US",
            "telephone_number": "919-339-1641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "903 S Beckford Dr",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NC",
            "postal_code": "275365908",
            "country_code": "US",
            "telephone_number": "252-654-1020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TONDREAU",
        "first_name": "JULIANNE",
        "middle_name": "MILES",
        "name_prefix": "Dr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-07",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "5007245",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "5007245",
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "NC",
            "license": "5007245",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIANNE",
            "last_name": "WARD",
            "middle_name": "MILES",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oxford, NC

Sources for this page

Verify at the official NPI Registry.