NPIMap

Individual provider Active NPI

Julie Annette Prewitt, LBSW

  • Case Manager/Care Coordinator
  • Jasper, TX
National Provider Identifier
1710128343
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
52483 Issued in TX
Practice address
139 W. Lamar St.
Jasper, TX 75951-4014
Phone
(409) 384-6829
Fax
(409) 384-4770
NPI assigned
Mar 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 52483 TX Primary

Addresses

Primary practice location

139 W. Lamar St.
Jasper, TX 75951-4014

Mailing address

139 W. Lamar St.
Jasper, TX 75951-4014
Phone (409) 384-6829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
52483TXMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Jasper Newton County Public Health District Past Accepting new patients
Jasper Newton County Public Health District Past Accepting new patients

Organizations & group practices 2

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": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236729600000",
    "number": "1710128343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 W. LAMAR ST.",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514014",
            "telephone_number": "409-384-6829",
            "fax_number": "409-384-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 W. LAMAR ST.",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514014",
            "telephone_number": "409-384-6829",
            "fax_number": "409-384-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREWITT",
        "first_name": "JULIE",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "LBSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-11",
        "last_updated": "2009-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "52483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.