NPIMap

Individual provider Active NPI

Juliette K. Erickson, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Olympia, WA
National Provider Identifier
1851489660
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
MD00040826 Issued in WA
Practice address
413 Lilly Rd NE
Olympia, WA 98506-5133
Phone
(360) 486-6402
Fax
(360) 493-7979
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00040826 WA
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X MD00040826 WA Primary

Addresses

Primary practice location

413 Lilly Rd NE
Olympia, WA 98506-5133

Mailing address

PO Box 3505
Portland, OR 97208-3505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040227000154 WA Practitioner - Family PracticePractitioner - Hospice/Palliative Care 4981590783 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
Baylor College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health and Services WashingtonGroup PAC ID 7719873496, 14 clinicians
Providence Health and Services WashingtonGroup PAC ID 9234048323, 11 clinicians

Practice addresses (Care Compare)

3525 Ensign Rd NE
Suite F
Olympia, WA 98506-5065
Phone (360) 486-2999

914 S Scheuber Rd
Centralia, WA 98531-9027
Phone (360) 736-2803

Hospital & facility affiliations

  • Providence St Peter Hospital Hospital, Olympia, WA, CCN 500024
  • Providence Centralia Hospital Hospital, Centralia, WA, CCN 500019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00040826WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington CurrentSince Nov 24, 2022 Accepting new patients
Fisher Family Medicine, PS Current Accepting new patients
Quinault Indian Nation Family Medicine Current Accepting new patients
Providence Health & Services Washington CurrentSince Nov 24, 2022 Accepting new patients
Herdel Medical Services Family Medicine Current Accepting new patients
Providence Health & Services Washington CurrentSince Aug 3, 2014 Accepting new patients
Providence Health & Services Washington CurrentSince Aug 3, 2014 Accepting new patients
Providence Health & Services Washington Family Medicine Current Accepting new patients
University Health Physicians Family Medicine Past Accepting new patients

Locations

1020 Anderson Dr
Ste 203
Aberdeen, WA 98520
Phone (360) 533-6063

914 S Scheuber Rd
Centralia, WA 98531
Phone (360) 330-8516

3525 Ensign Rd NE
Ste F
Olympia, WA 98506
Phone (360) 438-3029

413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480

410 Providence Ln NE
Bldg 2
Olympia, WA 98506
Phone (360) 493-4500

Interoperability endpoints

  • Direct secure messaging: jerickson421679@wm.providencedirect.org

Organizations & group practices 9

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 3

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1851489660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3505",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 LILLY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065133",
            "telephone_number": "360-486-6402",
            "fax_number": "360-493-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "JULIETTE",
        "middle_name": "K.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00040826",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "WA",
            "license": "MD00040826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.