Active NPI
Julie Kay Wampler, OTC
- Surgical Technologist
- Modesto, CA
National Provider Identifier
1508095613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- 09-0213
- Practice address
- 609 E Orangeburg Ave
Suite 201
Modesto, CA 95350-5512 - Phone
- (209) 572-3224
- Fax
- (209) 572-4528
- NPI assigned
- Jul 9, 2009
- 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 |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 09-0213 | CA | Primary |
Addresses
Primary practice location
609 E Orangeburg Ave
Suite 201
Modesto, CA 95350-5512
Mailing address
609 E Orangeburg Ave
Suite 201
Modesto, CA 95350-5512
Phone (209) 572-3224
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09-0213 | CA | MD | Surgical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247097600000",
"number": "1508095613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 E ORANGEBURG AVE",
"address_2": "SUITE 201",
"city": "MODESTO",
"state": "CA",
"postal_code": "953505512",
"telephone_number": "209-572-3224",
"fax_number": "209-572-4528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 E ORANGEBURG AVE",
"address_2": "SUITE 201",
"city": "MODESTO",
"state": "CA",
"postal_code": "953505512",
"telephone_number": "209-572-3224",
"fax_number": "209-572-4528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAMPLER",
"first_name": "JULIE",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "OTC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-09",
"last_updated": "2009-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "CA",
"license": "09-0213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.