Julie Lynne Waterbury, A.P.R.N.-F.N.P

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2011023150 Issued in MO

Practice address

10420 Old Olive Street Rd Ste 205
Saint Louis, MO 63141-5937

Phone

(314) 504-4698

Fax

(314) 692-9978

NPI assigned

Nov 30, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Julie Brown Former name

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Vadim Baram MD IncGroup PAC ID 4486725595, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Vadim Baram MD, Inc.

  • Geriatric Psychiatry Physician
  • Saint Louis, MO
  • NPI 1770743189
  Medicare reassignment Care Compare group NPD
• Family Psychiatry LLC

  • Child & Adolescent Psychiatry Physician
  • Saint Louis, MO
  • NPI 1265956544
  Medicare reassignment NPD

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1447552260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10420 OLD OLIVE STREET RD STE 205",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415937",
            "telephone_number": "314-504-4698",
            "fax_number": "314-692-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10420 OLD OLIVE STREET RD STE 205",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415937",
            "telephone_number": "314-504-4698",
            "fax_number": "314-692-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERBURY",
        "first_name": "JULIE",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "A.P.R.N.-F.N.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-30",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2011023150",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2011023150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "BROWN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Scott P Wasserstrom, MD
• Andrew James Wasson, RN, BSN, CDN
• Seth Wasson, DMD
• Douglas T. Watanabe, DDS
• Tsugie Watanabe, CRNA
• Kathryn Waterbury, MSW, LCSW
• Kristen Wymore Waterbury, MD
• Amber Dawn Waters
• Charlene Waters, PTA
• Decia Waters, RN

• Psychiatric/Mental Health Nurse Practitioner in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.