Active NPI
Tracy Julien, FNP
- Nurse Practitioner
- Arlington, TX
National Provider Identifier
1417424219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP138026
- Practice address
- 801 E Abram St Ste 208
Arlington, TX 76010-1200 - Phone
- (504) 215-3919
- Fax
- (469) 520-5486
- NPI assigned
- Oct 30, 2018
- Last updated
- Nov 19, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP138026 | TX | Primary |
Addresses
Primary practice location
801 E Abram St Ste 208
Arlington, TX 76010-1200
Mailing address
801 E Abram St Ste 208
Arlington, TX 76010-1200
Phone (504) 215-3919
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120190305001988 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Arlington | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP138026 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Generational Health of Texas | Current | Accepting new patients |
Locations
1441 N Cockrell Hill Rd
#101
Dallas, TX 75211
Phone (972) 460-0565
6833 Coit Rd
Ste 104
Plano, TX 75024
Phone (214) 985-2624
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Weight Away Health and Wellness
- Family Nurse Practitioner
- Arlington, TX
- NPI 1730728403
-
- Psychiatric/Mental Health Nurse Practitioner
- Dallas, TX
- NPI 1821894601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574121600000",
"number": "1417424219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 E ABRAM ST STE 208",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760101200",
"telephone_number": "504-215-3919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 E ABRAM ST STE 208",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760101200",
"telephone_number": "504-215-3919",
"fax_number": "469-520-5486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JULIEN",
"first_name": "TRACY",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-30",
"last_updated": "2019-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP138026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120190305001988",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Arlington",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "801 E Abram St Ste 208",
"city": "Arlington",
"state": "TX",
"country_code": "US",
"postal_code": "760101200",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.