Individual provider Active NPI

Julie Ann Lassig, CRNP

  • Family Nurse Practitioner
  • Quakertown, PA
National Provider Identifier
1811230352
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8317626-4405 Issued in UT
Practice address
99 North West End Boulevard
Suite 102
Quakertown, PA 18951-1272
Phone
(215) 538-0202
Fax
(215) 538-9580
NPI assigned
Apr 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN589483 PA
Family Nurse Practitioner 363LF0000X SP012890 PA
Family Nurse Practitioner 363LF0000X 8317626-4405 UT Primary

Addresses

Primary practice location

99 North West End Boulevard
Suite 102
Quakertown, PA 18951-1272

Mailing address

1865 S Main St Ste 12
Salt Lake City, UT 84115-2090
Phone (801) 657-5580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230123001778 UT Practitioner - Nurse Practitioner 1658513775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

6272 S Highland Dr
Murray, UT 84121-2126
Phone (801) 871-6300

Hospital & facility affiliations

  • Intermountain Medical Center Hospital, Murray, UT, CCN 460010
  • LDS Hospital Hospital, Salt Lake City, UT, CCN 460006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN589483PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc CurrentSince Dec 26, 2022 Accepting new patients
Marathon Health, LLC CurrentSince Feb 21, 2021 Accepting new patients
Ihc Health Services, Inc. CurrentSince Dec 26, 2022 Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

454 E Medical Way
Heber City, UT 84032
Phone (435) 654-2500

6272 S Highland Dr
Murray, UT 84121
Phone (801) 871-6000

750 Round Valley Dr
Ste 201
Park City, UT 84060
Phone (435) 649-7640

2720 Homestead Rd
Ste 100
Park City, UT 84098
Phone (435) 940-9400

1865 S Main St
Ste 12
Salt Lake City, UT 84115
Phone (801) 657-5580

324 Tenth Ave
Ste 100
Slc, UT 84103
Phone (801) 408-5735

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1811230352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 S MAIN ST STE 12",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841152090",
            "telephone_number": "801-657-5580",
            "fax_number": "801-401-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 NORTH WEST END BOULEVARD",
            "address_2": "SUITE 102",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511272",
            "telephone_number": "215-538-0202",
            "fax_number": "215-538-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASSIG",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN589483",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012890",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "8317626-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quakertown, PA

Sources for this page

Verify at the official NPI Registry.