Individual provider Active NPI

Julie Carney, NP

  • Nurse Practitioner
  • Glastonbury, CT
National Provider Identifier
1720403041
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
168354 Issued in GA
Practice address
2520 Main St
Glastonbury, CT 06033-4250
Phone
(860) 968-0430
NPI assigned
Feb 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 13715 CT
Nurse Practitioner 363L00000X 0024193265 VA
Nurse Practitioner 363L00000X 168354 GA Primary

Addresses

Primary practice location

2520 Main St
Glastonbury, CT 06033-4250

Mailing address

5115 Howard Rd
Cumming, GA 30040-5209
Phone (678) 938-0366

Other practice location 1

5115 Howard Rd
Cumming, GA 30040-5209
Phone (706) 212-0349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140602001868 GA Practitioner - Nurse Practitioner 4284857764
I20240909001185 CT Practitioner - Nurse Practitioner 4284857764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
85.61
Promoting interoperability
100
Improvement activities
40
Cost
46.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024193265VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Urgent Care Centers, LLC CurrentSince Sep 20, 2024 Accepting new patients

Locations

385 W Main St
Avon, CT 06001
Phone (860) 777-1280

2520 Main St
Glastonbury, CT 06033
Phone (860) 430-8383

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

1025 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 696-2296

Interoperability endpoints

  • Direct secure messaging: julie.carney@xdr.hhchealthdirect.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1720403041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 HOWARD RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300405209",
            "telephone_number": "678-938-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 MAIN ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334250",
            "telephone_number": "860-968-0430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5115 Howard Rd",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300405209",
            "country_code": "US",
            "telephone_number": "706-212-0349",
            "fax_number": "678-737-1853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "JULIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-24",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "13715",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024193265",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "168354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.