Julie Azevedo, RN CDE

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

20210414

Practice address

515 W Grangeville Blvd
Hanford, CA 93230-2861

Phone

(208) 944-4306

NPI assigned

Apr 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1993

Medicare assignment

May accept Medicare assignment

Group practices

Central Valley General HospitalGroup PAC ID 8325957517, 89 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• My Diabetes Tutor Inc

  • Clinic/Center
  • Hanford, CA
  • NPI 1528601218
  NPD
• Central Valley Endocrinology, a Professional Corporation

  • Endocrinology, Diabetes & Metabolism Physician
  • Hanford, CA
  • NPI 1679767214
  NPD (past)

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1568082220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 BELLA OAKS WAY",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932308165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W GRANGEVILLE BLVD",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932302861",
            "telephone_number": "208-944-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZEVEDO",
        "first_name": "JULIE",
        "credential": "RN CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": "20210414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBDE",
            "identifier": "20210414",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF REGISTERED NURSING",
            "identifier": "384213",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Balea Avila, RDHAP
• Shanelle M Ayala Milan
• Barbara Louise Ayers, PH.D
• Marlene Louise Ayers, LVN
• Jacob Awar Ayuen
• Pedro Baca
• Bacci and Glinn Physical Therapy Inc
• Baiju Abdulla, M.B.B.S., a Professional Corporation
• Daniel Pierce Bair, LMFT
• Lindsey Baird, M.A., CCC-SLP

• Nutrition Education Nutritionist in Hanford, CA
• Providers in Hanford, CA by specialty
• Nutrition Education Nutritionist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.