Active NPI
Julie Mangum Pybas, RN
- Registered Nurse
- Palatka, FL
National Provider Identifier
1619576105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN9166358
- Practice address
- 146 Slaughter Rd
Palatka, FL 32177-7768 - Phone
- (386) 538-0903
- NPI assigned
- Oct 26, 2020
- Last updated
- Oct 26, 2020
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9166358 | FL | Primary |
Addresses
Primary practice location
146 Slaughter Rd
Palatka, FL 32177-7768
Mailing address
146 Slaughter Rd
Palatka, FL 32177-7768
Phone (386) 538-0903
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9166358 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1619576105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 SLAUGHTER RD",
"city": "PALATKA",
"state": "FL",
"postal_code": "321777768",
"telephone_number": "386-538-0903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 SLAUGHTER RD",
"city": "PALATKA",
"state": "FL",
"postal_code": "321777768",
"telephone_number": "386-538-0903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PYBAS",
"first_name": "JULIE",
"middle_name": "MANGUM",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-26",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9166358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palatka, FL
- Putnam Psychotherapy
- Putnam Pulmonary & Primary Care, PA (Putnam Pulmonary Practice)
- Putnam Pulmonary & Primary Care, PA
- Putnam Radiation Oncology LLC (HCA Florida Putnam Cancer Center)
- Putnam Surgical Group, LLC
- Quality Care Management of N Central Florida,LLC
- Camille Quiles, PHARMD.
- Satish Ravi, M.D
- Cindie L Raybon, M.D.
- Recovery Point Palatka, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.