Individual provider Active NPI

Julianna Christine Link, PA-C

  • Physician Assistant
  • Jefferson City, MO
National Provider Identifier
1760016141
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2020000122 Issued in MO
Practice address
1002 Diamond RDG Ste 1200
Jefferson City, MO 65109-7911
Phone
(573) 632-5585
NPI assigned
Feb 25, 2020
Last updated
Oct 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2020000122 MO Primary

Addresses

Primary practice location

1002 Diamond RDG Ste 1200
Jefferson City, MO 65109-7911

Mailing address

1002 Diamond RDG Ste 1200
Jefferson City, MO 65109-7911
Phone (573) 632-5585

Other practice location 1

101 Ridgeway Dr
Jefferson City, MO 65109-0739
Phone (573) 680-4311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1760016141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 DIAMOND RDG STE 1200",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651097911",
            "telephone_number": "573-632-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 DIAMOND RDG STE 1200",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651097911",
            "telephone_number": "573-632-5585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Ridgeway Dr",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "MO",
            "postal_code": "651090739",
            "country_code": "US",
            "telephone_number": "573-680-4311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINK",
        "first_name": "JULIANNA",
        "middle_name": "CHRISTINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2020000122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

Verify at the official NPI Registry.