Active NPI
Julia Jordan Medeiros, ARNP
- Family Nurse Practitioner
- Poteau, OK
National Provider Identifier
1669641171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0035513
- Practice address
- 101 Smith Ave
Ste 2
Poteau, OK 74953-2613 - Phone
- (918) 647-0670
- Fax
- (918) 647-0460
- NPI assigned
- Feb 28, 2008
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0035513 | OK | Primary |
Addresses
Primary practice location
101 Smith Ave
Ste 2
Poteau, OK 74953-2613
Mailing address
PO Box 1278
Poteau, OK 74953-1278
Phone (918) 647-0670
Other names 1
- Mrs. Julia Lea Medeiros
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Family Care, LLC | Current | Accepting new patients | |
| American Family Care, LLC | Current | Accepting new patients | |
| American Family Care, LLC | Current | Accepting new patients | |
| Rowland Ellis Flatt Hugo Rural Health Clinic | Past | Accepting new patients |
Locations
3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902
8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711
4452 US Highway 231
Wetumpka, AL 36092
Phone (334) 472-3150
Organizations & group practices 4
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.
-
- Primary Care Clinic/Center
- Birmingham, AL
- NPI 1669429080
-
dba American Family Care
- Primary Care Clinic/Center
- Pell City, AL
- NPI 1245575950
-
- Family Medicine Physician
- Vestavia Hills, AL
- NPI 1265210645
-
dba Hugo Rural Health Clinic
- Medical Specialty Clinic/Center
- Hugo, OK
- NPI 1548251978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396915200000",
"number": "1669641171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1278",
"city": "POTEAU",
"state": "OK",
"postal_code": "749531278",
"telephone_number": "918-647-0670",
"fax_number": "918-647-0460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SMITH AVE",
"address_2": "STE 2",
"city": "POTEAU",
"state": "OK",
"postal_code": "749532613",
"telephone_number": "918-647-0670",
"fax_number": "918-647-0460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDEIROS",
"first_name": "JULIA",
"middle_name": "JORDAN",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-28",
"last_updated": "2014-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "0035513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIA",
"last_name": "MEDEIROS",
"middle_name": "LEA",
"prefix": "MRS.",
"credential": "RN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Poteau, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.