Individual provider Active NPI

Julie Lynn Sanford, M.D.

  • Psychiatry Physician
  • Colorado Springs, CO
National Provider Identifier
1386686236
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
27976 Issued in CO
Practice address
6160 Tutt Blvd
Suite 100
Colorado Springs, CO 80923-3500
Phone
(719) 473-2346
Fax
(719) 577-9627
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 27976 CO Primary
Geriatric Psychiatry Physician 2084P0805X 27976 CO

Addresses

Primary practice location

6160 Tutt Blvd
Suite 100
Colorado Springs, CO 80923-3500

Mailing address

6160 Tutt Blvd
Suite 100
Colorado Springs, CO 80923-3500
Phone (719) 473-2346

Other identifiers 2

IdentifierTypeStateIssuer
260049680OtherCORAILROAD MEDICARE
UM01279769MedicaidCO

Other names 1

  • Ms. Julie Lynn Hurd Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070919000824 CO Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 0345214540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Rush Medical College of Rush University, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rocky Mountain Neuropsychiatric Associates, P.C.Group PAC ID 3375517568, 11 clinicians

Practice addresses (Care Compare)

1271 Kelly Johnson Blvd
Suite 240
Colorado Springs, CO 80920-3964
Phone (719) 473-2346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27976COMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Neuropsychiatric Associates, P.C. Current Accepting new patients
SBH Colorado LLC Past Accepting new patients

Locations

7353 Sisters Grv
Colorado Springs, CO 80923
Phone (719) 355-1001

6160 Tutt Blvd
Ste 100
Colorado Springs, CO 80923
Phone (719) 444-8484

Organizations & group practices 3

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1386686236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 TUTT BLVD",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233500",
            "telephone_number": "719-473-2346",
            "fax_number": "719-577-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 TUTT BLVD",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233500",
            "telephone_number": "719-473-2346",
            "fax_number": "719-577-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "JULIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "27976",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "CO",
            "license": "27976",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "260049680",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "UM01279769",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "HURD",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.