Julie Withworth

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

2014036356 Issued in MO

Legal business name

JULIE WITHWORTH

Practice address

916 Olive St # 312
Saint Louis, MO 63101-1459

Phone

(314) 436-9300

Fax

(314) 802-4477

NPI assigned

Mar 27, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Renita J Barnes

Title

Clinical Director

Phone

(314) 436-9300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1801280839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 OLIVE ST # 312",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631011459",
            "telephone_number": "314-436-9300",
            "fax_number": "314-802-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 OLIVE ST # 312",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631011459",
            "telephone_number": "314-436-9300",
            "fax_number": "314-802-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE WITHWORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "RENITA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "314-436-9300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2014036356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619372240",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Juettemeyer, MSW, LCSW
• Neringa Juknis, MD
• Samuel Farley Julian, MD
• Julianne Reynolds LLC
• Julie E Friedman MSW LCSW
• Alexandria Julion
• Kulsoom Fatima Junaid, M.D.
• Junction Bracing & PT LLC
• June K. Wolff DMD
• Cynthia A Jung, LPC

• Adult Health Nurse Practitioner in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Adult Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.