Julie Ann Duffy, RDH, PHDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

020.013141 Issued in IL

Practice address

330 Vermont St Ste 100
Quincy, IL 62301-2700

Phone

(217) 222-8440

NPI assigned

Jul 19, 2022

Last updated

Jul 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Board of Trustees of Southern Illinois University

  • Federally Qualified Health Center (FQHC)
  • Quincy, IL
  • NPI 1083121537
  NPD

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1780319343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 VERMONT ST STE 100",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012700",
            "telephone_number": "217-222-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 VERMONT ST STE 100",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012700",
            "telephone_number": "217-222-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "RDH, PHDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "IL",
            "license": "020.013141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martinette Z Douglas
• Sara Nicole Douglas
• Teresa Iva Douglas, M.S., CCC-SLP
• Michelle Lee Downey, LCSW
• Emilee Doyle
• Jerilyn C Dufresne, LCSW
• Angela Dawn Duncan, APRN
• Andrew Dunham
• Molly A Dunn-Steinke, MSED, LPC
• Christopher Dupuis, M.D.

• Dental Hygienist in Quincy, IL
• Providers in Quincy, IL by specialty
• Dental Hygienist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.