Active NPI
Julie Vonohlen, P.A.
- Physician Assistant
- Fairmont, MN
National Provider Identifier
1861477994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9415
- Practice address
- 800 Medical Center Dr
Fairmont, MN 56031-4575 - Phone
- (507) 238-8555
- NPI assigned
- Dec 13, 2005
- Last updated
- Jul 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9415 | MN | Primary |
Addresses
Primary practice location
800 Medical Center Dr
Fairmont, MN 56031-4575
Mailing address
800 Medical Center Dr
Fairmont, MN 56031-4575
Phone (507) 238-8555
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HP50678 | Other | MN | HEALTH PARTNERS |
| MH9041017778 | Other | MN | PPO |
| 58D87VO | Medicaid | MN | |
| 604588 | Other | MN | ARAZ |
| 125191 | Medicaid | MN | |
| 58D87VO | Other | MN | BCBS/MEDICARE SUPPLEMENT |
| 919985 | Medicaid | IA | |
| 01-13057 | Other | MN | MEDICA |
| 49165 | Other | IA | BCBS OF IOWA |
| A024 | Other | MN | CHAMPUS |
| 58D87VO | Other | MN | BCBS |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9415 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1861477994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 MEDICAL CENTER DR",
"city": "FAIRMONT",
"state": "MN",
"postal_code": "560314575",
"telephone_number": "507-238-8555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MEDICAL CENTER DR",
"city": "FAIRMONT",
"state": "MN",
"postal_code": "560314575",
"telephone_number": "507-238-8555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONOHLEN",
"first_name": "JULIE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-13",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "9415",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP50678",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPO",
"identifier": "MH9041017778",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "58D87VO",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ",
"identifier": "604588",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125191",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS/MEDICARE SUPPLEMENT",
"identifier": "58D87VO",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "919985",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "01-13057",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IOWA",
"identifier": "49165",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "A024",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "58D87VO",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairmont, MN
- United Hospital District Inc. (United Hospital District)
- Jule Vanzandt
- Ramie Vetter, PSY.D., LP
- Vital Wellness LLC
- Amelia Diane Volgarino, RPH
- Wal-Mart Stores, Inc. (Vision Center 30-3806)
- Walgreen Co (Walgreens #09350)
- Walmart Inc. (Walmart Pharmacy 10-3806)
- Jacob Weaver, PHARM D
- Taylor Marie Weerts, DT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.