Individual provider Active NPI

Julia Vermeulen, RN, CNM, WHNP-BC

  • Advanced Practice Midwife
  • Tucson, AZ
National Provider Identifier
1871192443
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
283719 Issued in AZ
Practice address
3655 E Grant Rd
Tucson, AZ 85716-2933
Phone
(520) 670-3909
NPI assigned
Oct 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X CNM00189 RI
Advanced Practice MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 367A00000X
Advanced Practice Midwife 367A00000X 283719 AZ Primary

Addresses

Primary practice location

3655 E Grant Rd
Tucson, AZ 85716-2933

Mailing address

3722 E 4TH St
Tucson, AZ 85716-5010
Phone (781) 985-8375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230331001222 AZ Practitioner - Certified Nurse Midwife (CNM) 3678986296 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Mar 13, 2023 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc Multi-Specialty Current Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Mar 13, 2023 Accepting new patients
Tucson Medical Center Multi-Specialty Past Accepting new patients
Planned Parenthood of the Columbia/Willamette, Inc. Multi-Specialty Past Accepting new patients

Locations

839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707

3655 E Grant Rd
Tucson, AZ 85716
Phone (520) 440-6323

Organizations & group practices 5

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": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1871192443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3722 E 4TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857165010",
            "telephone_number": "781-985-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857162933",
            "telephone_number": "520-670-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMEULEN",
        "first_name": "JULIA",
        "credential": "RN, CNM, WHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "RI",
            "license": "CNM00189",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AZ",
            "license": "283719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.