Individual provider Active NPI

Julie Jackson

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1568892073
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.14836-NP Issued in OH
Practice address
University of Cincinnati Academic Health Ctr
231 Albert Sabin Way, Suite 1358
Cincinnati, OH 45267-0769
Phone
(513) 558-8090
NPI assigned
Nov 19, 2013
Last updated
Nov 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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 COA.14836-NP OH Primary

Addresses

Primary practice location

University of Cincinnati Academic Health Ctr
231 Albert Sabin Way, Suite 1358
Cincinnati, OH 45267-0769

Mailing address

University of Cincinnati Academic Health Ctr
231 Albert Sabin Way, Suite 1358
Cincinnati, OH 45267-0769
Phone (513) 558-8090

Other names 1

  • Julie Jackson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20140312000998 OH Practitioner - Nurse Practitioner 7012147119 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Trihealth U LLCGroup PAC ID 5799110953, 31 clinicians

Practice addresses (Care Compare)

4605 Montgomery Rd
Cincinnati, OH 45212-2607
Phone (513) 853-9700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.14836-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G, LLC CurrentSince Jan 15, 2020 Accepting new patients
Trihealth G LLC CurrentSince Jan 15, 2020 Accepting new patients
Trihealth U LLC CurrentSince Feb 1, 2020 Accepting new patients

Locations

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

10529 Loveland Madeira Rd
Loveland, OH 45140
Phone (513) 683-5615

4605 Montgomery Rd
Norwood, OH 45212
Phone (513) 731-0062

12110 Lebanon Rd
Sharonville, OH 45241
Phone (513) 853-9700

Interoperability endpoints

  • Direct secure messaging: jjackson303679@direct.trihealth.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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1568892073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF CINCINNATI ACADEMIC HEALTH CTR",
            "address_2": "231 ALBERT SABIN WAY, SUITE 1358",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452670769",
            "telephone_number": "513-558-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF CINCINNATI ACADEMIC HEALTH CTR",
            "address_2": "231 ALBERT SABIN WAY, SUITE 1358",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452670769",
            "telephone_number": "513-558-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JULIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.14836-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "JACKSON",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.