Active NPI
Julia Marie Debold, PA-C
- Medical Physician Assistant
- Nashville, TN
National Provider Identifier
1861484693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1119
- Practice address
- 508 Davidson St
#204
Nashville, TN 37213-1414 - Phone
- (615) 730-8051
- NPI assigned
- Aug 18, 2005
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1119 | TN | Primary |
Addresses
Primary practice location
508 Davidson St
#204
Nashville, TN 37213-1414
Mailing address
1350 Rosa L Parks Blvd
Unit 429
Nashville, TN 37208-2502
Phone (615) 499-8934
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1119 | TN | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465862400000",
"number": "1861484693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 ROSA L PARKS BLVD",
"address_2": "UNIT 429",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372082502",
"telephone_number": "615-499-8934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 DAVIDSON ST",
"address_2": "#204",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372131414",
"telephone_number": "615-730-8051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBOLD",
"first_name": "JULIA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-18",
"last_updated": "2016-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TN",
"license": "1119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.