Active NPI
Julianne Locke Brubaker, CNM, APRN
- Advanced Practice Midwife
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 09000476C
- Practice address
- 5165 McCarty LN
Lafayette, IN 47905-8764 - Phone
- (765) 448-8000
- Fax
- (765) 838-6302
- NPI assigned
- Aug 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704341854 | MI | |
| Family Nurse Practitioner | 363LF0000X | 09000476C | IN | |
| Advanced Practice Midwife | 367A00000X | APRN.CNM.0019522 | OH | |
| Advanced Practice Midwife | 367A00000X | 09000476C | IN | Primary |
Addresses
Primary practice location
5165 McCarty LN
Lafayette, IN 47905-8764
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbrubaker@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IN
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704341854 | MI | MD | Family Nurse Practitioner |
| 09000476C | IN | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Mercy Medical Partners Northern Region Specialty Care LLC | Current | Accepting new patients | |
| Mercy Medical Partners Northern Region Specialty Care LLC | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients |
Locations
8016 Reliable Pkwy
Chicago, IL 60686
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
2600 Greenbush St
Lafayette, IN 47904
5165 McCarty Ln
Lafayette, IN 47905
Phone (800) 899-8448
5165 McCarty Ln
Rm 28A
Lafayette, IN 47905
1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414
1600 E Riverview Ave
Ste 101
Napoleon, OH 43545
Phone (419) 592-8774
Interoperability endpoints
- jbrubaker@direct.iuhealth.org
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.
-
- Internal Medicine Physician
- Lafayette, IN
- NPI 1164490843
-
- Surgery Physician
- Defiance, OH
- NPI 1730701749
-
- Durable Medical Equipment & Medical Supplies
- Lafayette, IN
- NPI 1699839563
-
- Clinical Medical Laboratory
- Lafayette, IN
- NPI 1881655090
-
- Customized Equipment (DME)
- Defiance, OH
- NPI 1043972482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1821600347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5165 MCCARTY LN",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479058764",
"telephone_number": "765-448-8000",
"fax_number": "765-838-6302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUBAKER",
"first_name": "JULIANNE",
"middle_name": "LOCKE",
"credential": "CNM, APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-17",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704341854",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "09000476C",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "OH",
"license": "APRN.CNM.0019522",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IN",
"license": "09000476C",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbrubaker@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5165 McCarty Ln",
"city": "Lafayette",
"state": "IN",
"country_code": "US",
"postal_code": "479058764",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.