NPIMap

Organization Active NPI

Julie Staats DO Family Medicine

  • Family Medicine Physician
  • Niceville, FL
National Provider Identifier
1780222166
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JULIE STAATS DO FAMILY MEDICINE
Practice address
2600 Partin Dr N Ste 120
Niceville, FL 32578-1543
Phone
(850) 279-3040
NPI assigned
Dec 16, 2019
Last updated
Dec 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Authorized official

Name
Dr. Julie Staats, DONPI 1023092525
Title
Owner
Phone
(850) 279-3040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

2600 Partin Dr N Ste 120
Niceville, FL 32578-1543

Mailing address

2600 Partin Dr N Ste 120
Niceville, FL 32578-1543
Phone (850) 279-3040

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL sandyjsfm112374@outlook.com

National Provider Directory

National Provider Directory

Locations

2600 Partin Dr N
Ste 120
Niceville, FL 32578
Phone (850) 279-3040

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15113/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1780222166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 PARTIN DR N STE 120",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781543",
            "telephone_number": "850-279-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 PARTIN DR N STE 120",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781543",
            "telephone_number": "850-279-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE STAATS DO FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "STAATS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-279-3040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sandyjsfm112374@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "2600 Partin Dr N Ste 120",
            "city": "Niceville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325781543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.