NPIMap

Individual provider Active NPI

Julie Anderson, RPA-C

  • Medical Physician Assistant
  • Westport, NY
National Provider Identifier
1508949009
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
006291 Issued in NY
Practice address
6097 U.S. Rte. 9N
Westport, NY 12993
Phone
(518) 962-2313
NPI assigned
Oct 20, 2006
Last updated
Apr 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 006291 NY Primary

Addresses

Primary practice location

6097 U.S. Rte. 9N
Westport, NY 12993

Mailing address

6097 U.S. Rte. 9 N
Westport, NY 12993
Phone (518) 962-2313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130815000560 NY Practitioner - Physician Assistant 8527200872 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
JS Weill Medical College, Cornell University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elizabethtown Community HospitalGroup PAC ID 3577554138, 62 clinicians

Practice addresses (Care Compare)

6097 Nys Route 9N
Westport, NY 12993-2308
Phone (518) 962-2313

75 Park St
Elizabethtown, NY 12932-2300
Phone (518) 673-6377

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
006291NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabethtown Community Hospital CurrentSince Jun 19, 2013 Accepting new patients
Essex County Treasurer Past Accepting new patients

Locations

6097 Nys Route 9N
Westport, NY 12993
Phone (518) 962-2313

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/elizabe-e663f886
  • Direct secure messaging: janderson469419@direct.uvmhealth.org

Organizations & group practices 3

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 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366329600000",
    "number": "1508949009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6097 U.S. RTE. 9 N",
            "city": "WESTPORT",
            "state": "NY",
            "postal_code": "12993",
            "telephone_number": "518-962-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6097 U.S. RTE. 9N",
            "city": "WESTPORT",
            "state": "NY",
            "postal_code": "12993",
            "telephone_number": "518-962-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JULIE",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2013-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "006291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, NY

Sources for this page

Verify at the official NPI Registry.