Individual provider Active NPI

Julie Owen Putt, FNP-BC

  • Family Nurse Practitioner
  • Longmont, CO
National Provider Identifier
1619236502
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0992187-NP Issued in CO
Practice address
1067 S Hover St Ste E-2032
Longmont, CO 80501-7904
Phone
(888) 292-0799
Fax
(888) 655-0677
NPI assigned
May 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 587753 NY
Registered Nurse 163W00000X RN.1633739 CO
Family Nurse Practitioner 363LF0000X 337227 NY
Family Nurse Practitioner 363LF0000X RXN.0101945-NP CO
Family Nurse Practitioner 363LF0000X APN.0992187-NP CO Primary

Addresses

Primary practice location

1067 S Hover St Ste E-2032
Longmont, CO 80501-7904

Mailing address

4664 Palmer CT
Longmont, CO 80503-8339
Phone (888) 292-0799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.1633739COMDRegistered Nurse
587753NYMDRegistered Nurse
337227NYMDHospitalist Physician
APN.0992187-NPCOMDFamily Nurse Practitioner
RXN.0101945-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affirmative Care, P.C. Family CurrentSince Jul 20, 2021 Accepting new patients
Boulder Community Health Past Accepting new patients

Locations

1067 S Hover St
Ste E2032
Longmont, CO 80501
Phone (888) 292-0799

Interoperability endpoints

  • Direct secure messaging: jputt@bch.gwaydirect.com
  • Direct secure messaging: julie.putt.1@22461.direct.athenahealth.com

Organizations & group practices 2

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": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1619236502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4664 PALMER CT",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805038339",
            "telephone_number": "888-292-0799",
            "fax_number": "888-655-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1067 S HOVER ST STE E-2032",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805017904",
            "telephone_number": "888-292-0799",
            "fax_number": "888-655-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTT",
        "first_name": "JULIE",
        "middle_name": "OWEN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-11",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "587753",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.1633739",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337227",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "RXN.0101945-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0992187-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.