Individual provider Active NPI

Julie Marie Meade, FNP

  • Family Nurse Practitioner
  • Dungannon, VA
National Provider Identifier
1740066893
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024188042 Issued in VA
Practice address
17285 Veterans Memorial Hwy
Dungannon, VA 24245-3937
Phone
(276) 467-2201
NPI assigned
Sep 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024188042 VA Primary

Addresses

Primary practice location

17285 Veterans Memorial Hwy
Dungannon, VA 24245-3937

Mailing address

1486 Inthepines Cir
Dungannon, VA 24245-3828

Other names 1

  • Julie Marie Elam Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240229000563 VA Practitioner - Nurse Practitioner 8628413671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Clinch River Health Services IncGroup PAC ID 6709835002, 11 clinicians

Practice addresses (Care Compare)

17285 Veterans Memorial Hwy
Dungannon, VA 24245-3937
Phone (276) 467-2201

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024188042VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinch River Health Services, Inc. CurrentSince Nov 27, 2023 Accepting new patients
Clinch River Health Services Inc CurrentSince Nov 27, 2023 Accepting new patients

Locations

17285 Veterans Memorial Hwy
Dungannon, VA 24245
Phone (276) 467-2201

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAHCAA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1740066893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1486 INTHEPINES CIR",
            "city": "DUNGANNON",
            "state": "VA",
            "postal_code": "242453828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17285 VETERANS MEMORIAL HWY",
            "city": "DUNGANNON",
            "state": "VA",
            "postal_code": "242453937",
            "telephone_number": "276-467-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADE",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024188042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "ELAM",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dungannon, VA

Sources for this page

Verify at the official NPI Registry.