Julia W Fields, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

53-79904-041 Issued in KS

Practice address

1013 Pottawatomie St
Leavenworth, KS 66048-1764

Phone

(405) 474-7420

NPI assigned

Jan 20, 2021

Last updated

Jun 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in KS

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alive Family PsychiatryGroup PAC ID 2961840574, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Alive Family Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Leavenworth, KS
  • NPI 1336837061
  Medicare reassignment Care Compare group NPD Authorized official
• Alive Family Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Leavenworth, KS
  • NPI 1114815917
  Medicare reassignment NPD Authorized official
• Alive Family Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Leavenworth, KS
  • NPI 1164238598
  NPD Authorized official

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1821688136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 POTTAWATOMIE ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660481764",
            "telephone_number": "405-474-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 POTTAWATOMIE ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660481764",
            "telephone_number": "405-474-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "JULIA",
        "middle_name": "W",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-79904-041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Jo Falconer, RN
• Nina Bernadette Farrar
• Brittney Farrell
• Alicia Fender
• Patrice M Ferrell, CCC-SLP
• Christopher Todd Filley, RN
• Kala Finney
• Connie Fire
• First City Dental Care
• First City of Kansas Emergency Physicians

• Psychiatric/Mental Health Nurse Practitioner in Leavenworth, KS
• Providers in Leavenworth, KS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.