Individual provider Active NPI

Patricia L Juline, NP

  • Adult Health Nurse Practitioner
  • Grapevine, TX
National Provider Identifier
1467716704
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2292 Issued in TX
Practice address
1600 W College St Ste 440
Grapevine, TX 76051-3584
Phone
(817) 865-6200
Fax
(817) 865-6065
NPI assigned
Jul 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2292 TX Primary

Addresses

Primary practice location

1600 W College St Ste 440
Grapevine, TX 76051-3584

Mailing address

11551 Forest Central Dr Ste 133
Dallas, TX 75243-3915
Phone (214) 343-8565

Other names 1

  • Trish L Juline Other name

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
I20130905000374 TX Practitioner - Nurse Practitioner 3375799125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Dallas Neurosurgical Associates PAGroup PAC ID 1254386907, 15 clinicians

Practice addresses (Care Compare)

6101 W Plano Pkwy
Suite 100
Plano, TX 75093-8201
Phone (214) 750-3646

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2292TXMDFoot & Ankle Surgery Podiatrist
4799WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Neurosurgical Associates, P.a. CurrentSince Oct 1, 2018 Accepting new patients

Locations

6101 W Plano Pkwy
Ste 100
Plano, TX 75093
Phone (214) 750-3646

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1467716704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11551 FOREST CENTRAL DR STE 133",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433915",
            "telephone_number": "214-343-8565",
            "fax_number": "214-342-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W COLLEGE ST STE 440",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513584",
            "telephone_number": "817-865-6200",
            "fax_number": "817-865-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULINE",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "2292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRISH",
            "last_name": "JULINE",
            "middle_name": "L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.