Julie B Canada, ARNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP3052252 Issued in FL

Practice address

603 North Washington Ave
Suite 101
Titusville, FL 32796

Phone

(321) 268-5008

Fax

(321) 607-6690

NPI assigned

Aug 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Julie B Wade Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Chiron Urgent Care LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Titusville, FL
  • NPI 1083953467
  NPD
• Florida Cardiovascular Association PA

  • Cardiovascular Disease Physician
  • Titusville, FL
  • NPI 1245271006
  NPD
• Florida Cardiovascular Diagnostic Services LLC

  • Cardiovascular Disease Physician
  • Titusville, FL
  • NPI 1134301104
  NPD (past)
• North Brevard Medical Support, Inc

  dba Parrish Medical Group

  • Multi-Specialty Clinic/Center
  • Titusville, FL
  • NPI 1609834886
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1396753042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 SIMPSON ROAD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34744",
            "telephone_number": "407-200-2300",
            "fax_number": "407-200-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 NORTH WASHINGTON AVE",
            "address_2": "SUITE 101",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "32796",
            "telephone_number": "321-268-5008",
            "fax_number": "321-607-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANADA",
        "first_name": "JULIE",
        "middle_name": "B",
        "credential": "ARNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP3052252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307211800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "WADE",
            "middle_name": "B",
            "credential": "ARNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patricia A Cabrera
• Tinisha Marie Calhoun, RN
• Juan Camilo Camacho Velandia, REGISTER DIETITIAN
• Corine Sue Campbell
• Mikayla Campbell
• Gloria Canaday, R.N. I.B.C.L.C
• Anna Canales-Velliquette
• Antonio Caos, MD
• Deeann Capece, BA. MS
• Arnold R Capobianco, DMD

• Nurse Practitioner in Titusville, FL
• Providers in Titusville, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.