Active NPI
Julia Weisburd, FNP
- Family Nurse Practitioner
- Indianapolis, IN
National Provider Identifier
1780739763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71001882A
- Practice address
- 6745 Gray Rd Ste D
Indianapolis, IN 46237-3236 - Phone
- (317) 859-1090
- Fax
- (317) 781-0995
- NPI assigned
- Jan 23, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71001882A | IN | Primary |
Addresses
Primary practice location
6745 Gray Rd Ste D
Indianapolis, IN 46237-3236
Mailing address
PO Box 100
Beech Grove, IN 46107-0100
Phone (317) 859-1090
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11480599 | Other | IN | CAQH |
| P00183860 | Other | IN | RAILROAD MEDICARE |
| 000000030114 | Other | IN | M PLAN |
| 200509870 | Medicaid | IN | |
| 000000359238 | Other | IN | ANTHEM BCBS |
| 28123654A | Other | IN | RN LICENSE |
| 71001882B | Other | IN | CSR |
Other names 1
- Julia Braslavskaya
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71001882A | IN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1780739763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100",
"city": "BEECH GROVE",
"state": "IN",
"postal_code": "461070100",
"telephone_number": "317-859-1090",
"fax_number": "317-941-7254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6745 GRAY RD STE D",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462373236",
"telephone_number": "317-859-1090",
"fax_number": "317-781-0995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISBURD",
"first_name": "JULIA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71001882A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11480599",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00183860",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "M PLAN",
"identifier": "000000030114",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200509870",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000359238",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "28123654A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSR",
"identifier": "71001882B",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JULIA",
"last_name": "BRASLAVSKAYA",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.