Individual provider Active NPI

Julia Tjandera

  • Family Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1568056828
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11011327 Issued in FL
Practice address
1401 Oven Park Dr Ste 201
Tallahassee, FL 32308-7958
Phone
(850) 765-8623
NPI assigned
Feb 25, 2021
Last updated
Oct 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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 APRN11011327 FL Primary

Addresses

Primary practice location

1401 Oven Park Dr Ste 201
Tallahassee, FL 32308-7958

Mailing address

1401 Oven Park Dr Ste 201
Tallahassee, FL 32308-7958
Phone (850) 765-8623

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210506001314 FL Practitioner - Nurse Practitioner 8527477371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2250 Harrison Ave
Panama City, FL 32405-4548
Phone (850) 784-2477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11011327FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Neurology Specialists PL CurrentSince Aug 21, 2023 Accepting new patients
Tallahassee Neurology Specialists, P.L. CurrentSince Aug 21, 2023 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

2250 Harrison Ave
Panama City, FL 32405
Phone (350) 784-2477

1401 Oven Park Dr
Tallahassee, FL 32308
Phone (850) 765-8623

1401 Oven Park Dr
Ste 201
Tallahassee, FL 32308
Phone (850) 765-8623

1401 Oven Park Dr
Ste 201A
Tallahassee, FL 32308

Interoperability endpoints

  • Direct secure messaging: julia.tjandera.1@21684.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1568056828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 OVEN PARK DR STE 201",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087958",
            "telephone_number": "850-765-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 OVEN PARK DR STE 201",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087958",
            "telephone_number": "850-765-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TJANDERA",
        "first_name": "JULIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11011327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.