Julian Keith Little

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

Mountain Home Afb
90 Hope Dr. BLDG 6000/366 Med GP/Amds/SGPF
Mountain Home, ID 83648

Phone

(208) 828-7401

NPI assigned

Jul 22, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1447480686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 OWYHEE CT",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836471925",
            "telephone_number": "208-590-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MOUNTAIN HOME AFB",
            "address_2": "90 HOPE DR. BLDG 6000/366 MED GP/AMDS/SGPF",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "83648",
            "telephone_number": "208-828-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "JULIAN",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lavallee, LPC
• William Michael Lawrence, BS
• LC Counseling, LLC
• Caylin Lepire
• Melanie Lewellyan
• Shelby Rae Lunday, OTR
• Larry W Lutz II, MS
• Scott K M Knudsen, PA
• Melissa Maclean
• Bonnie Jean Markham, LMSW

• Independent Duty Medical Technicians in Mountain Home, ID
• Providers in Mountain Home, ID by specialty
• Independent Duty Medical Technicians in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.