Individual provider Active NPI

Julie D Willis, FNP

  • Pediatric Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1609407642
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP144716 Issued in TX
Practice address
2120 Baldwin Blvd
Corpus Christi, TX 78405-2010
Phone
(361) 500-0096
Fax
(877) 409-2521
NPI assigned
Jan 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP144716 TX Primary
Emergency Medicine Physician 207P00000X AP144716 TX
Nurse Practitioner 363L00000X AP144716 TX

Addresses

Primary practice location

2120 Baldwin Blvd
Corpus Christi, TX 78405-2010

Mailing address

2120 Baldwin Blvd
Corpus Christi, TX 78405-2010
Phone (361) 500-0096

Other practice location 1

1504 Waldron Rd
Corpus Christi, TX 78418-4450
Phone (361) 937-5311

Other practice location 2

14041 Northwest Blvd Ste 1
Corpus Christi, TX 78410-5138
Phone (361) 767-9963

Other practice location 3

2411 Rand Morgan Rd
Corpus Christi, TX 78410-1541
Phone (361) 504-1028

Other identifiers 1

IdentifierTypeStateIssuer
AP144716OtherTXFNP LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200717001812 TX Practitioner - Nurse Practitioner 2769806157 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Silverbell Pediatrics PA Pediatrics Current Accepting new patients
Nueces Emergency Medicine Associates PA Emergency Medicine CurrentSince Jun 14, 2020 Accepting new patients
Topcare Medical Group Inc Past Accepting new patients
Antrados, P.a. Pediatrics PastSince Feb 1, 2020 Accepting new patients
Children'S Physician Services of South Texas Past Accepting new patients

Locations

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBGABD/Endpoint/IBGABD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1609407642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 BALDWIN BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784052010",
            "telephone_number": "361-500-0096",
            "fax_number": "361-444-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 BALDWIN BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784052010",
            "telephone_number": "361-500-0096",
            "fax_number": "877-409-2521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1504 Waldron Rd",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784184450",
            "country_code": "US",
            "telephone_number": "361-937-5311",
            "fax_number": "855-618-2472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14041 Northwest Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784105138",
            "country_code": "US",
            "telephone_number": "361-767-9963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2411 Rand Morgan Rd",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784101541",
            "country_code": "US",
            "telephone_number": "361-504-1028",
            "fax_number": "888-464-1064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "JULIE",
        "middle_name": "D",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP144716",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "AP144716",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP144716",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP LICENSE NUMBER",
            "identifier": "AP144716",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.