Active NPI
Julie E Zude, MD
- Psychiatry Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 34891
- Practice address
- 2220 Young Dr
Lexington, KY 40505-4219 - Phone
- (859) 253-1686
- Fax
- (859) 254-2743
- NPI assigned
- Jan 25, 2007
- Last updated
- Jul 9, 2007
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 34891 | KY | Primary |
Addresses
Primary practice location
2220 Young Dr
Lexington, KY 40505-4219
Mailing address
1351 Newtown Pike
Lexington, KY 40511-1217
Phone (859) 253-1686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30615058 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4600 3Rd St
Moline, IL 61265-6106
Phone (309) 779-2031
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34891 | KY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Medical Center | Psychiatry | Current | Accepting new patients |
| The Robert Young Center for Community Mental Health | Current | Accepting new patients | |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Trinity Medical Center | Current | Accepting new patients | |
| The Robert Young Center for Community Mental Health | Current | Accepting new patients | |
| The Robert Young Center for Community Mental Health | Psychiatry | Current | Accepting new patients |
Locations
4600 3rd St
Moline, IL 61265
Phone (309) 779-2022
2560 24th St
Ste 101
Rock Island, IL 61201
Phone (309) 779-3970
2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200
Interoperability endpoints
- jzude92575@direct.unitypoint.org
Organizations & group practices 6
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rock Island, IL
- NPI 1710276399
-
- Emergency Medicine Physician
- Rock Island, IL
- NPI 1568414134
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
dba Robert Young Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Muscatine, IA
- NPI 1063224426
-
- Mental Health Counselor
- Rock Island, IL
- NPI 1972272516
Psychiatry
-
- Psychiatry Physician
- Rock Island, IL
- NPI 1033163829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1699821546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1351 NEWTOWN PIKE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405111217",
"telephone_number": "859-253-1686",
"fax_number": "859-254-2743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 YOUNG DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405054219",
"telephone_number": "859-253-1686",
"fax_number": "859-254-2743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUDE",
"first_name": "JULIE",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "34891",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30615058",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.