Individual provider Active NPI

Julia Jordan Medeiros, ARNP

  • Family Nurse Practitioner
  • Poteau, OK
National Provider Identifier
1669641171
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0035513 Issued in OK
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

Updated by the provider on Apr 8, 2014

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 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 Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190307003392 AL Practitioner - Nurse Practitioner 5294808275 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC CurrentSince Dec 26, 2018 Accepting new patients
American Family Care, LLC CurrentSince Dec 26, 2018 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.

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

Verify at the official NPI Registry.