Active NPI
Julia R Houdek, NP
- Obstetrics & Gynecology Nurse Practitioner
- Milwaukee, WI
National Provider Identifier
1386954816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 4233
- Practice address
- 9200 W Wisconsin Ave
Obstetrics and Gynecology
Milwaukee, WI 53226-3522 - Phone
- (414) 805-6600
- Fax
- (414) 805-6622
- NPI assigned
- Oct 18, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 155895 | WI | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 4233 | WI | Primary |
| Women's Health Nurse Practitioner | 363LW0102X | 4233 | WI |
Addresses
Primary practice location
9200 W Wisconsin Ave
Obstetrics and Gynecology
Milwaukee, WI 53226-3522
Mailing address
9200 W Wisconsin Ave
Obstetrics and Gynecology
Milwaukee, WI 53226-3522
Phone (414) 805-6600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386954816 | Medicaid | WI |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 155895 | WI | MD | Registered Nurse |
| 4233 | WI | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454112000000",
"number": "1386954816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"address_2": "OBSTETRICS AND GYNECOLOGY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263522",
"telephone_number": "414-805-6600",
"fax_number": "414-805-6622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"address_2": "OBSTETRICS AND GYNECOLOGY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263522",
"telephone_number": "414-805-6600",
"fax_number": "414-805-6622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUDEK",
"first_name": "JULIA",
"middle_name": "R",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-18",
"last_updated": "2016-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "155895",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "WI",
"license": "4233",
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "WI",
"license": "4233",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1386954816",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.