Active NPI
Julia C Eder, OTRL
- Occupational Therapist
- Saint Paul, MN
National Provider Identifier
1710903109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 102815
- Practice address
- 360 Sherman St
Suite 470
Saint Paul, MN 55102-2564 - Phone
- (651) 209-6520
- Fax
- (651) 209-6521
- NPI assigned
- Jul 15, 2006
- Last updated
- May 26, 2010
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 102815 | MN | Primary |
Addresses
Primary practice location
360 Sherman St
Suite 470
Saint Paul, MN 55102-2564
Mailing address
360 Sherman St
Suite 470
Saint Paul, MN 55102-2564
Phone (651) 209-6520
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6401989 | Other | MN | MEDICA PRIMARY |
| 851S1RO | Other | MN | BCBS OF MN |
| 2160148 | Other | MN | AMERICAS PPO/ARAZ |
| 509491028653 | Other | MN | PREFERRED ONE INSURANCE |
| HP42856 | Other | MN | HEALTH PARTNERS |
| 167565F703 | Other | MN | UCARE |
| 6404814 | Other | MN | MEDICA CHOICE/SELECT CARE |
| A008 | Other | MN | TRICARE |
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)
- Enrolled
Interoperability endpoints
- jeder552906@excellian.direct.allina.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274832000000",
"number": "1710903109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 SHERMAN ST",
"address_2": "SUITE 470",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022564",
"telephone_number": "651-209-6520",
"fax_number": "651-209-6521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 SHERMAN ST",
"address_2": "SUITE 470",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022564",
"telephone_number": "651-209-6520",
"fax_number": "651-209-6521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDER",
"first_name": "JULIA",
"middle_name": "C",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-15",
"last_updated": "2010-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "102815",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA PRIMARY",
"identifier": "6401989",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MN",
"identifier": "851S1RO",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAS PPO/ARAZ",
"identifier": "2160148",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE INSURANCE",
"identifier": "509491028653",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP42856",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "167565F703",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA CHOICE/SELECT CARE",
"identifier": "6404814",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "A008",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.