Individual provider Active NPI

Julie Ann Pudil, FNP

  • Nurse Practitioner
  • Robbinsville, NC
National Provider Identifier
1609904317
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5018883 Issued in NC
Practice address
409 Tallulah Rd
Robbinsville, NC 28771-8500
Phone
(828) 253-3717
Fax
(828) 252-8072
NPI assigned
Mar 2, 2007
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F343279 NY
Nurse Practitioner 363L00000X 1625 CO
Obstetrics & Gynecology Nurse Practitioner 363LX0001X F089140 IA
Nurse Practitioner 363L00000X 5018883 NC Primary

Addresses

Primary practice location

409 Tallulah Rd
Robbinsville, NC 28771-8500

Mailing address

PO Box 100181
Columbia, SC 29202-3141
Phone (828) 202-5200

Other practice location 1

1201 3rd Ave SE
Cedar Rapids, IA 52403
Phone (319) 730-7300

Other practice location 2

9732 State Route 12
Copenhagen, NY 13626-2906
Phone (315) 688-2305

Other practice location 3

9732 State Route 12
Copenhagen, NY 13626-2906
Phone (315) 688-2305

Other practice location 4

1250 N Wilson Ave
Loveland, CO 80537-4461
Phone (970) 494-9789

Other practice location 5

298 5th Ave Fl 7
New York, NY 10001-4522
Phone (516) 260-6767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240108000376 NC Practitioner - Nurse Practitioner 2567641665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

409 Tallulah Rd
Robbinsville, NC 28771-8500
Phone (828) 479-6434

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1625COMDPhysical Therapist
5018883NCMDNurse Practitioner
F343279NYMDFamily Nurse Practitioner
F089140IAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Mountain Community Health Centers CurrentSince Nov 6, 2023 Accepting new patients
Appalachian Mountain Community Health Centers CurrentSince Nov 6, 2023 Accepting new patients
Appalachian Mountain Community Health Centers Past Accepting new patients
Eastern Iowa Health Center Past Accepting new patients
Central Iowa Family Planning Inc. Past Accepting new patients
Central Iowa Family Planning Inc. Past Accepting new patients
Eastern Iowa Health Center Past Accepting new patients

Locations

4048 E US 64 Alt
Ste 1
Murphy, NC 28906
Phone (828) 837-8131

409 Tallulah Rd
Robbinsville, NC 28771
Phone (828) 479-6434

Organizations & group practices 7

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 2

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1609904317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100181",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292023141",
            "telephone_number": "828-202-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 TALLULAH RD",
            "city": "ROBBINSVILLE",
            "state": "NC",
            "postal_code": "287718500",
            "telephone_number": "828-253-3717",
            "fax_number": "828-252-8072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 3rd Ave SE",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "52403",
            "country_code": "US",
            "telephone_number": "319-730-7300",
            "fax_number": "319-730-7366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9732 State Route 12",
            "address_purpose": "LOCATION",
            "city": "Copenhagen",
            "state": "NY",
            "postal_code": "136262906",
            "country_code": "US",
            "telephone_number": "315-688-2305",
            "fax_number": "315-688-2139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9732 State Route 12",
            "address_purpose": "LOCATION",
            "city": "Copenhagen",
            "state": "NY",
            "postal_code": "136262906",
            "country_code": "US",
            "telephone_number": "315-688-2305",
            "fax_number": "315-688-2139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 N Wilson Ave",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805374461",
            "country_code": "US",
            "telephone_number": "970-494-9789",
            "fax_number": "970-663-0073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "298 5th Ave Fl 7",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100014522",
            "country_code": "US",
            "telephone_number": "516-260-6767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUDIL",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F343279",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "1625",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "IA",
            "license": "F089140",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5018883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robbinsville, NC

Sources for this page

Verify at the official NPI Registry.