Julie A Demille, MSN, FNP, CDE

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201250158NP Issued in OR

Practice address

1425 Beavercreek Rd
Oregon City, OR 97045-4076

Phone

(503) 655-8471

Fax

(503) 655-8595

NPI assigned

Jul 31, 2007

Last updated

Jul 14, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Master of Science - Nursing, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clackamas County

  dba Sunnyside Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Clackamas, OR
  • NPI 1891042487
  NPD (past)

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1679763122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 KAEN RD",
            "address_2": "SUITE 367",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454035",
            "telephone_number": "503-655-8471",
            "fax_number": "503-655-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 BEAVERCREEK RD",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454076",
            "telephone_number": "503-655-8471",
            "fax_number": "503-655-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMILLE",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "MSN, FNP, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201250158NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "659624",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sally-Ann Defriez, OTRL
• Benjamin W Degiulio, LPC
• Sibylle Artemisia Dehart
• Tembre Eliza Delong, DMD
• Nava Roxanne Demaris, LMT
• Tiffany I Dennis, MSW, LCSW
• Erica Marie Depuydt, D.C.
• Paul C Deroche, BS
• Joan P Derry, RN
• Debra Deslaurier

• Family Nurse Practitioner in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.