Active NPI
Monica Dejulio, FNP-BC
- Family Nurse Practitioner
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61461749
- Practice address
- 510 Rainier Ave S # a
Seattle, WA 98144-3046 - Phone
- (206) 686-1266
- NPI assigned
- Oct 26, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-68959 | CA | |
| Family Nurse Practitioner | 363LF0000X | 2023006900 | CA | |
| Family Nurse Practitioner | 363LF0000X | AP61461749 | WA | Primary |
Addresses
Primary practice location
510 Rainier Ave S # a
Seattle, WA 98144-3046
Mailing address
2498 Sawgrass St
El Cajon, CA 92019-4552
Other names 1
- Ms. Monica C Bota
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
21410 NE 14TH Street
Sammamish, WA 98074
4060 Fairmount Ave
San Diego, CA 92105-1608
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-68959 | CA | MD | Behavior Technician |
| 2023006900 | CA | MD | Family Nurse Practitioner |
| AP61461749 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Maestra Family Clinic, Inc. | Current | Accepting new patients | |
| La Maestra Family Clinic, Inc. | Current | Accepting new patients | |
| La Maestra Family Clinic, Inc. | Current | Accepting new patients | |
| B Chue Consulting, P.S. | Current | Accepting new patients | |
| La Maestra Family Clinic | Past | Accepting new patients |
Locations
165 S 1st St
El Cajon, CA 92019
Phone (619) 312-0347
4074 Fairmount Ave
San Diego, CA 92105
Phone (619) 284-1141
4060 Fairmount Ave
San Diego, CA 92105
Phone (619) 255-9155
510 Rainier Ave S
#A
Seattle, WA 98144
Phone (206) 686-1266
Interoperability endpoints
- monica.dejulio.p1@direct.lamaestra.nextgenshare.com
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- El Cajon, CA
- NPI 1306929443
-
- Medical Oncology Physician
- Seattle, WA
- NPI 1174849855
-
- Federally Qualified Health Center (FQHC)
- National City, CA
- NPI 1508949645
-
- Federally Qualified Health Center (FQHC)
- El Cajon, CA
- NPI 1568209773
-
- Federally Qualified Health Center (FQHC)
- National City, CA
- NPI 1336324904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1750858882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2498 SAWGRASS ST",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920194552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 RAINIER AVE S # A",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981443046",
"telephone_number": "206-686-1266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEJULIO",
"first_name": "MONICA",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-26",
"last_updated": "2024-01-25",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-18-68959",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "2023006900",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61461749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MONICA",
"last_name": "BOTA",
"middle_name": "C",
"prefix": "MS.",
"credential": "FNP-BC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.