Active NPI
Julia Rose Ball, DMSC MPAS PA-C
- Medical Physician Assistant
- Longmont, CO
National Provider Identifier
1457878985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9110651
- Practice address
- 201 Coffman Street
Longmont, CO 80503-5918 - Phone
- (720) 575-6614
- Fax
- (720) 780-7057
- NPI assigned
- Aug 25, 2017
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9110651 | PA | Primary |
Addresses
Primary practice location
201 Coffman Street
Longmont, CO 80503-5918
Mailing address
201 Coffman St
Longmont, CO 80501-5918
Phone (720) 575-6614
Other identifiers 20
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50.009163RX | Other | OH | STATE LICENSE |
| MA064856 | Other | PA | STATE LICENSE |
| PA.61406579 | Other | WA | STATE LICENSE |
| 0010-15497 | Other | NC | STATE LICENSE |
| 085011576 | Other | IL | STATE LICENSE |
| ITRPA-1021 | Other | WV | STATE LICENSE - TELEHEATH |
| PA1372 | Other | WY | STATE LICENSE |
| 029840 | Other | NY | STATE LICENSE |
| PA9110651 | Other | FL | STATE LICENSE |
| 13242146-1206 | Other | UT | STATE LICENSE |
| C5-0011885 | Other | DE | STATE LICENSE |
| PA.0007787 | Other | CO | STATE LICENSE |
| PA2023-0284 | Other | NM | STATE LICENSE |
| PA62634 | Other | CA | STATE LICENSE |
| 13700 | Other | GA | STATE LICENSE |
| 6652 | Other | TN | STATE LICENSE |
| 5601012740 | Other | MI | STATE LICENSE |
| 8145-23 | Other | WI | STATE LICENSE |
| PA17052 | Other | TX | STATE LICENSE |
| THPA0071 | Other | AZ | STATE LICENSE - TELEHEALTH |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9110651 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amaze Professional Medical Services PC | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Longmont, CO
- NPI 1225674625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1457878985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 COFFMAN ST",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805015918",
"telephone_number": "720-575-6614",
"fax_number": "720-780-7057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 COFFMAN STREET",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805035918",
"telephone_number": "720-575-6614",
"fax_number": "720-780-7057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALL",
"first_name": "JULIA",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "DMSC MPAS PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-25",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "PA9110651",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "50.009163RX",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "MA064856",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PA.61406579",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "0010-15497",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "085011576",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE - TELEHEATH",
"identifier": "ITRPA-1021",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PA1372",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "029840",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PA9110651",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "13242146-1206",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "C5-0011885",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PA.0007787",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PA2023-0284",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PA62634",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "13700",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "6652",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "5601012740",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "8145-23",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PA17052",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE - TELEHEALTH",
"identifier": "THPA0071",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.