Active NPI
Julie Ann Stanwick, CNP
- Family Nurse Practitioner
- Southport, NC
National Provider Identifier
1518228451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.13468
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0115948 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.13468 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Hope Clinic, Inc. | Current | Accepting new patients | |
| New Hope Clinic, Inc. | Current | Accepting new patients |
Locations
201 W Boiling Spring Rd
Southport, NC 28461
Phone (910) 845-5333
Interoperability endpoints
- https://api.platform.athenahealth.com/20427/brand/1/csg/1/fhir/r4
- 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.
-
- Primary Care Clinic/Center
- Southport, NC
- NPI 1427677624
-
- Clinic Pharmacy
- Southport, NC
- NPI 1487425229
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.