Active NPI
Julie Gillespie, MSN, FNP
- Family Nurse Practitioner
- San Ramon, CA
National Provider Identifier
1427492404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 12774
- Practice address
- 5001 Executive Pkwy
San Ramon, CA 94583-5006 - Phone
- (925) 842-4103
- Fax
- (925) 842-2046
- NPI assigned
- Apr 22, 2013
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 12774 | CA | Primary |
Addresses
Primary practice location
5001 Executive Pkwy
San Ramon, CA 94583-5006
Mailing address
2020 Canyon Woods Dr Apt C
San Ramon, CA 94582-4217
Phone (925) 842-4103
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
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12774 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731715200000",
"number": "1427492404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 CANYON WOODS DR APT C",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945824217",
"telephone_number": "925-842-4103",
"fax_number": "925-842-2046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 EXECUTIVE PKWY",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945835006",
"telephone_number": "925-842-4103",
"fax_number": "925-842-2046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLESPIE",
"first_name": "JULIE",
"credential": "MSN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-22",
"last_updated": "2024-11-16",
"certification_date": "2024-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "12774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.