Active NPI
Julie Totterdale Anderson, DNP
- Family Nurse Practitioner
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP 9225132
- Practice address
- 3040 N Wickham Rd Ste 10
Wickham Executive Center
Melbourne, FL 32935-2369 - Phone
- (321) 428-4840
- Fax
- (321) 428-4841
- NPI assigned
- Nov 15, 2012
- Last updated
- May 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP 9225132 | FL | Primary |
Addresses
Primary practice location
3040 N Wickham Rd Ste 10
Wickham Executive Center
Melbourne, FL 32935-2369
Mailing address
3040 N Wickham Rd Ste 10
Wickham Executive Center
Melbourne, FL 32935-2369
Phone (321) 428-4840
Other names 1
- Julie Lynn Totterdale
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- H2 Rehabilitation Services of Florida LLC
Practice addresses (Care Compare)
3040 N Wickham Rd
Suite 10
Melbourne, FL 32935-2369
Phone (321) 428-4840
3680 N Wickham Rd
Suite B
Melbourne, FL 32935-2327
Phone (321) 255-5500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9225132 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Brevard LLC | Current | Accepting new patients |
Locations
1305 Hickory St
Melbourne, FL 32901
Phone (321) 255-1500
3040 N Wickham Rd
Ste 10
Melbourne, FL 32935
Phone (321) 428-4840
Interoperability endpoints
- julieanderson@mab.medentdirect.com
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.
-
- Multi-Specialty Clinic/Center
- Melbourne, FL
- NPI 1861400103
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba First Flight
- Air Ambulance
- Melbourne, FL
- NPI 1235312281
Hospital
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
dba Orlando Health Melbourne Hospital
- General Acute Care Hospital
- Melbourne, FL
- NPI 1033937883
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462924800000",
"number": "1477897692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3040 N WICKHAM RD STE 10",
"address_2": "WICKHAM EXECUTIVE CENTER",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329352369",
"telephone_number": "321-428-4840",
"fax_number": "321-428-4841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3040 N WICKHAM RD STE 10",
"address_2": "WICKHAM EXECUTIVE CENTER",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329352369",
"telephone_number": "321-428-4840",
"fax_number": "321-428-4841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JULIE",
"middle_name": "TOTTERDALE",
"name_prefix": "Dr.",
"credential": "DNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-15",
"last_updated": "2016-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP 9225132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "TOTTERDALE",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.