Individual provider Active NPI

Julie Berenda Stewart, NP

  • Family Nurse Practitioner
  • Eastland, TX
National Provider Identifier
1457540338
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
653723 Issued in TX
Practice address
711 W Main St
Eastland, TX 76448-2534
Phone
(254) 631-0111
Fax
(254) 631-0186
NPI assigned
Oct 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 653723 TX Primary

Addresses

Primary practice location

711 W Main St
Eastland, TX 76448-2534

Mailing address

5701 W Slaughter LN Ste a-130155
Austin, TX 78749-6527
Phone (254) 631-0111

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120606000231 TX Practitioner - Nurse Practitioner 8325202286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eastland Health Clinic PLLCGroup PAC ID 8426212382, 2 clinicians

Practice addresses (Care Compare)

711 W Main St
Eastland, TX 76448-2534
Phone (254) 631-0111

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Abilene, TX, CCN 679184
  • Centerwell Home Health Home health agency, Eastland, TX, CCN 457128
  • Eastland Memorial Hospital Hospital, Eastland, TX, CCN 671303
  • Eastland Memorial Hospital Hospital, Eastland, TX, CCN 450411
  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eastland Health Clinic PLLC CurrentSince Feb 17, 2012 Accepting new patients

Locations

5701 W Slaughter Ln
Ste A130155
Austin, TX 78749

711 W Main St
Eastland, TX 76448
Phone (254) 629-1100

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1457540338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 W SLAUGHTER LN STE A-130155",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787496527",
            "telephone_number": "254-631-0111",
            "fax_number": "254-631-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W MAIN ST",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764482534",
            "telephone_number": "254-631-0111",
            "fax_number": "254-631-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JULIE",
        "middle_name": "BERENDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "653723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastland, TX

Sources for this page

Verify at the official NPI Registry.