Julia K. Burton

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

SP016411 Issued in PA

Practice address

3901 S Atherton St
Ste 5
State College, PA 16801-8324

Phone

(814) 466-7921

Fax

(814) 466-6570

NPI assigned

Jul 1, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Julia Kathryn Campbell Former name

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Mount Nittany Medical Center Health Services Inc

  • Internal Medicine Physician
  • State College, PA
  • NPI 1598992554
  Medicare reassignment
• Mount Nittany Medical Center Health Services Inc

  • Pain Clinic/Center
  • State College, PA
  • NPI 1407035553
  NPD (past)

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1669824603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 S ATHERTON ST",
            "address_2": "STE 5",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168018324",
            "telephone_number": "814-466-7921",
            "fax_number": "814-466-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 S ATHERTON ST",
            "address_2": "STE 5",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168018324",
            "telephone_number": "814-466-7921",
            "fax_number": "814-466-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "JULIA",
        "middle_name": "K.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN620254",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP016411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "CAMPBELL",
            "middle_name": "KATHRYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen Kingera Burgos, LPC
• Mya Burk
• Catherine Burnett, MS
• Kate Marie Burnett
• Kennita Luvangee Burns-Johnson, D.O
• Ryan Michael Burton, D.O.
• Jamie L Bush, CRNP
• Scott E Butler, PA-C
• Adam Butters, PHARMD
• Emma Caitlin Buytenhuys

• Pediatric Nurse Practitioner in State College, PA
• Providers in State College, PA by specialty
• Pediatric Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.

Verify at the official NPI Registry.