Active NPI
Julie Allison Watson Ko, APN
- Pediatric Nurse Practitioner
- Little Rock, AR
National Provider Identifier
1407022734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- A01945
- Practice address
- 3600 Cantrell Rd Ste 205
Little Rock, AR 72202-1892 - Phone
- (501) 526-8008
- NPI assigned
- May 6, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | A01945 | AR | Primary |
Addresses
Primary practice location
3600 Cantrell Rd Ste 205
Little Rock, AR 72202-1892
Mailing address
303 Camden Dr
Rogers, AR 72756-6968
Phone (479) 857-0763
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A01945 | AR | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304640000000",
"number": "1407022734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 CAMDEN DR",
"city": "ROGERS",
"state": "AR",
"postal_code": "727566968",
"telephone_number": "479-857-0763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 CANTRELL RD STE 205",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722021892",
"telephone_number": "501-526-8008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KO",
"first_name": "JULIE",
"middle_name": "ALLISON WATSON",
"name_prefix": "Ms.",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-06",
"last_updated": "2011-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AR",
"license": "A01945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.