Individual provider Active NPI

Julie Purcell

  • Specialist
  • Delmar, NY
National Provider Identifier
1649892316
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1328424 Issued in NY
Practice address
2 Bethlehem CT
Delmar, NY 12054-1306
Phone
(518) 478-0722
NPI assigned
May 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1328424 NY Primary

Addresses

Primary practice location

2 Bethlehem CT
Delmar, NY 12054-1306

Mailing address

2 Bethlehem CT
Delmar, NY 12054-1306
Phone (518) 478-0722

Other practice location 1

158 S Main Ave
Albany, NY 12208-2418
Phone (518) 269-9547

Other identifiers 1

IdentifierTypeStateIssuer
1328424MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL albany

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

State licenses

LicenseStateTypeSpecialty
1328424NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Early Childhood Learning Center, Inc. PastSince May 17, 2020 Accepting new patients
Circle of Friends PastSince May 17, 2020 Accepting new patients

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": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1649892316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BETHLEHEM CT",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541306",
            "telephone_number": "518-478-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BETHLEHEM CT",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541306",
            "telephone_number": "518-478-0722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "158 S Main Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122082418",
            "country_code": "US",
            "telephone_number": "518-269-9547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURCELL",
        "first_name": "JULIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1328424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1328424",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "albany",
            "affiliation": "N",
            "endpointDescription": "health",
            "address_1": "2 Bethlehem Ct",
            "city": "Delmar",
            "state": "NY",
            "country_code": "US",
            "postal_code": "120541306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Delmar, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.

Verify at the official NPI Registry.