Active NPI
Julia Elizabeth Kelley, FNP
- Nurse Practitioner
- Puyallup, WA
National Provider Identifier
1578896338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP60454192
- Practice address
- 1029 E Main Ste 104
Puyallup, WA 98372-3814 - Phone
- (253) 446-6977
- Fax
- (253) 604-4703
- NPI assigned
- Sep 11, 2009
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP60454192 | WA | Primary |
Addresses
Primary practice location
1029 E Main Ste 104
Puyallup, WA 98372-3814
Mailing address
1029 E Main Ste 104
Puyallup, WA 98372-3814
Phone (534) 466-9772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Viewpoint Endocrinology PLLC | Current | Accepting new patients | |
| Openloop Healthcare Partners PC | Nurse Practitioner | Past | Accepting new patients |
Locations
1029 E Main
Ste 104
Puyallup, WA 98372
Phone (253) 446-6977
Interoperability endpoints
- https://api.platform.athenahealth.com/17143/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
dba Providence Medical Group SouthWest Washington
- Family Medicine Physician
- Olympia, WA
- NPI 1174744304
-
- Endocrinology, Diabetes & Metabolism Physician
- Puyallup, WA
- NPI 1619482353
-
- General Practice Physician
- Des Moines, IA
- NPI 1245820661
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1578896338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1029 E MAIN STE 104",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983723814",
"telephone_number": "534-466-9772",
"fax_number": "253-604-4703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1029 E MAIN STE 104",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983723814",
"telephone_number": "253-446-6977",
"fax_number": "253-604-4703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "JULIA",
"middle_name": "ELIZABETH",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-11",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60454192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.