Active NPI
Julie C Archibald, D.C.
- Primary Care Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- SP034129
- 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
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 |
|---|---|---|---|---|
| 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, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 011962 | NY | MD | Chiropractor |
| RN2300451 | MA | MD | Gerontology Nurse Practitioner |
| TPAN3014 | FL | MD | Primary Care Nurse Practitioner |
| SP034129 | PA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FC Clinical Services of Florida PA | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.