Individual provider Active NPI

Julie Christine Pruett, FNP

  • Family Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1639587579
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP11945 Issued in CA
Practice address
3801 San Dimas St
Bakersfield, CA 93301-5731
Phone
(661) 323-8477
Fax
(661) 323-8472
NPI assigned
Jul 23, 2014
Last updated
Apr 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP11945 CA Primary

Addresses

Primary practice location

3801 San Dimas St
Bakersfield, CA 93301-5731

Mailing address

PO Box 1139
Bakersfield, CA 93302-1139
Phone (661) 371-2796

Other practice location 1

300 Canal St
King City, CA 93930-3431
Phone (831) 385-1726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050609001156 CA Practitioner - Nurse Practitioner 5294778262 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.84 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP11945CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion and Clinical Services, Inc. Current Accepting new patients
Vipmd CurrentSince Aug 19, 2023 Accepting new patients
Lac Medical, Inc CurrentSince Aug 26, 2023 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince May 20, 2018 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince May 20, 2018 Accepting new patients
Infusion and Clinical Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Infusion and Clinical Services, Inc CurrentSince Jan 1, 2024 Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Vernon C Sorenson MD Inc. Past Accepting new patients
Infusion and Clinical Services, Inc Past Accepting new patients

Locations

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

2901 Sillect Ave
Ste 201
Bakersfield, CA 93308
Phone (661) 327-2101

5300 Lennox Ave
Ste 105
Bakersfield, CA 93309
Phone (661) 735-1710

5401 White Ln
Bakersfield, CA 93309
Phone (661) 396-7100

9500 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 836-5004

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 331-8640

6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377

143 W Kern Ave
Mc Farland, CA 93250
Phone (661) 310-1002

145 W Kern Ave
Mc Farland, CA 93250
Phone (661) 310-1002

41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/GDAHAD

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1639587579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1139",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933021139",
            "telephone_number": "661-371-2796",
            "fax_number": "661-438-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 SAN DIMAS ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015731",
            "telephone_number": "661-323-8477",
            "fax_number": "661-323-8472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Canal St",
            "address_purpose": "LOCATION",
            "city": "King City",
            "state": "CA",
            "postal_code": "939303431",
            "country_code": "US",
            "telephone_number": "831-385-1726",
            "fax_number": "831-385-3750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUETT",
        "first_name": "JULIE",
        "middle_name": "CHRISTINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP11945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.