Individual provider Active NPI

Julie C Archibald, D.C.

  • Primary Care Nurse Practitioner
  • New York, NY
National Provider Identifier
1851623698
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SP034129 Issued in PA
Practice address
311 E 78TH St
Apt 2C
New York, NY 10075-1366
Phone
(585) 750-0682
NPI assigned
Feb 4, 2010
Reactivated
Apr 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X RN2300451 MA
Primary Care Nurse Practitioner 363LP2300X TPAN3014 FL
Primary Care Nurse Practitioner 363LP2300X SP034129 PA Primary
Chiropractor 111N00000X 011962 NY

Addresses

Primary practice location

311 E 78TH St
Apt 2C
New York, NY 10075-1366

Mailing address

233 Pleasant St Unit 111
Watertown, MA 02472-2458
Phone (585) 750-0682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250116000160 FL Practitioner - Nurse Practitioner 2567649114 Reassigns benefits to 1 organization
Practice locations: Miami, FL
I20251204000714 PA Practitioner - Nurse Practitioner 2567649114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4500 Newberry Rd
Gainesville, FL 32607-2245
Phone (352) 200-2872

833 Chestnut St
Suite 1220
Philadelphia, PA 19107-4413
Phone (352) 200-2872

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
011962NYMDChiropractor
RN2300451MAMDGerontology Nurse Practitioner
TPAN3014FLMDPrimary Care Nurse Practitioner
SP034129PAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FC Clinical Services of Florida PA CurrentSince Feb 1, 2025 Accepting new patients

Locations

4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310

9825 NE 2nd Ave
Unit 530187
Miami, FL 33153
Phone (352) 200-2872

833 Chestnut St
Ste 1220
Philadelphia, PA 19107
Phone (352) 200-2872

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1851623698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 PLEASANT ST UNIT 111",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722458",
            "telephone_number": "585-750-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E 78TH ST",
            "address_2": "APT 2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751366",
            "telephone_number": "585-750-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHIBALD",
        "first_name": "JULIE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "deactivation_date": "2024-03-28",
        "reactivation_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "RN2300451",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "TPAN3014",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP034129",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011962",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.