Julie Sandoval, ACNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN.0991643-NP Issued in CO

Practice address

1861 Austin Bluffs Pkwy
Colorado Springs, CO 80918-7868

Phone

(866) 647-6315

NPI assigned

May 18, 2015

Last updated

Jul 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Peak Vista Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Colorado Springs, CO
  • NPI 1730166034
  Medicare reassignment NPD
• Rocky Mountain Clinics LLC

  • Addiction Medicine (Family Medicine) Physician
  • Fort Collins, CO
  • NPI 1295450294
  Medicare reassignment NPD
• Peak Vista Community Health Centers

  dba Behavioral Health at Inside Out Youth Services

  • Federally Qualified Health Center (FQHC)
  • Colorado Springs, CO
  • NPI 1871347443
  NPD
• Rocky Mountain Clinics, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Alamosa, CO
  • NPI 1285468546
  NPD
• Rocky Mountain Clinics LLC

  • Addiction Medicine (Family Medicine) Physician
  • Northglenn, CO
  • NPI 1205552254
  NPD (past)
• Rocky Mountain Clinics LLC

  • Addiction Medicine (Family Medicine) Physician
  • Durango, CO
  • NPI 1245956143
  NPD (past)
• Rocky Mountain Clinics LLC

  • Addiction Medicine (Family Medicine) Physician
  • Pueblo, CO
  • NPI 1295451185
  NPD (past)
• Rocky Mountain Clinics LLC

  • Addiction Medicine (Family Medicine) Physician
  • Englewood, CO
  • NPI 1386360212
  NPD (past)
• Rocky Mountain Clinics LLC

  • Family Medicine Physician
  • Cortez, CO
  • NPI 1417651035
  NPD (past)
• Rocky Mountain Clinics LLC

  • Addiction Medicine (Family Medicine) Physician
  • Pueblo, CO
  • NPI 1417673021
  NPD (past)
• Rocky Mountain Clinics LLC

  • Addiction Medicine (Family Medicine) Physician
  • Wellington, CO
  • NPI 1477261154
  NPD (past)
• Rocky Mountain Clinics LLC

  • Addiction Medicine (Family Medicine) Physician
  • Golden, CO
  • NPI 1578289476
  NPD (past)

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1851779227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 E ELIZABETH ST STE 2",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244044",
            "telephone_number": "866-647-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 AUSTIN BLUFFS PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809187868",
            "telephone_number": "866-647-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "JULIE",
        "credential": "ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-18",
        "last_updated": "2024-07-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0991643-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49875868",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Dawn Sandlin, TEACHER,
• Marissa Lysette Sandoval-Clor
• Abrianna Sandoval
• Elizabeth Sandoval
• Genesis Sandoval, RBT
• Justin Sandoval
• Kalah Sandoval
• Miguel I Sandoval, M.D.
• Nicholas Sandoval
• Taylor Sandoval

• Nurse Practitioner in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.