Active NPI
Julie Marie Bartlow, MSN, APN, CPNP-PC
- Pediatric Nurse Practitioner
- Macomb, IL
National Provider Identifier
1831212901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 209.005254
- Practice address
- 505 E Grant St Ste 202
Macomb, IL 61455-3373 - Phone
- (309) 833-1729
- Fax
- (309) 836-1779
- NPI assigned
- Apr 6, 2007
- Last updated
- Mar 7, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 209005254 | IL | |
| Pediatric Nurse Practitioner | 363LP0200X | 209.005254 | IL | Primary |
Addresses
Primary practice location
505 E Grant St Ste 202
Macomb, IL 61455-3373
Mailing address
505 E Grant St Ste 202
Macomb, IL 61455-3373
Phone (309) 833-1729
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
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.005254 | IL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McDonough County Hospital District | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba McDonough District Hospital TCU
- Skilled Nursing Facility
- Macomb, IL
- NPI 1841386190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488844800000",
"number": "1831212901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 E GRANT ST STE 202",
"city": "MACOMB",
"state": "IL",
"postal_code": "614553373",
"telephone_number": "309-833-1729",
"fax_number": "309-836-1779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 E GRANT ST STE 202",
"city": "MACOMB",
"state": "IL",
"postal_code": "614553373",
"telephone_number": "309-833-1729",
"fax_number": "309-836-1779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTLOW",
"first_name": "JULIE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MSN, APN, CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2017-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "IL",
"license": "209005254",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IL",
"license": "209.005254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macomb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.