Individual provider Active NPI

Julie Ann Stanwick, CNP

  • Family Nurse Practitioner
  • Southport, NC
National Provider Identifier
1518228451
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.13468 Issued in OH
Practice address
201 W Boiling Spring Rd
Southport, NC 28461-9730
Phone
(910) 845-5333
Fax
(855) 881-2158
NPI assigned
Jun 7, 2012
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.13468 OH Primary

Addresses

Primary practice location

201 W Boiling Spring Rd
Southport, NC 28461-9730

Mailing address

821 Ovates LN
Wilmington, NC 28409-5828
Phone (937) 935-8130

Other identifiers 1

IdentifierTypeStateIssuer
0115948MedicaidOH

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
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.13468OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Clinic, Inc. CurrentSince Sep 1, 2023 Accepting new patients
New Hope Clinic, Inc. CurrentSince Jan 14, 2024 Accepting new patients

Locations

201 W Boiling Spring Rd
Southport, NC 28461
Phone (910) 845-5333

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20427/brand/1/csg/1/fhir/r4
  • Direct secure messaging: julie.stanwick.1@20427.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1518228451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 OVATES LN",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284095828",
            "telephone_number": "937-935-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W BOILING SPRING RD",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284619730",
            "telephone_number": "910-845-5333",
            "fax_number": "855-881-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANWICK",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.13468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0115948",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southport, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.