Active NPI
Julie A. Hannah, FNP-BC
- Family Nurse Practitioner
- Roseville, CA
National Provider Identifier
1871596353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95010947
- Practice address
- 151 N Sunrise Ave Ste 1201
Roseville, CA 95661-2961 - Phone
- (916) 780-0110
- Fax
- (916) 536-7241
- NPI assigned
- May 27, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95010947 | CA | Primary |
Addresses
Primary practice location
151 N Sunrise Ave Ste 1201
Roseville, CA 95661-2961
Mailing address
1177 Essington LN
Roseville, CA 95747-9523
Phone (678) 899-1870
Other practice location 1
2 Medical Plaza Dr Ste 175
Roseville, CA 95661-3049
Phone (916) 782-2149
Other names 1
- Miss Julie A. Ultsch
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95010947 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gwinnett Physician Group, LLC | Current | Accepting new patients | |
| Michael V Abene MD PA | Past | Accepting new patients | |
| Todd J Swick, MD, PA | Past | Accepting new patients | |
| Gwinnett Medical Group, Inc | Past | Accepting new patients |
Locations
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Lawrenceville, GA
- NPI 1578574661
-
- General Practice Physician
- Lawrenceville, GA
- NPI 1780747469
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Houston, TX
- NPI 1154678399
-
- Specialist
- Houston, TX
- NPI 1902921000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1871596353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1177 ESSINGTON LN",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "957479523",
"telephone_number": "678-899-1870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 N SUNRISE AVE STE 1201",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956612961",
"telephone_number": "916-780-0110",
"fax_number": "916-536-7241"
}
],
"practiceLocations": [
{
"address_1": "2 Medical Plaza Dr Ste 175",
"address_purpose": "LOCATION",
"city": "Roseville",
"state": "CA",
"postal_code": "956613049",
"country_code": "US",
"telephone_number": "916-782-2149",
"fax_number": "916-782-4229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANNAH",
"first_name": "JULIE",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-05-27",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95010947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "ULTSCH",
"middle_name": "A.",
"prefix": "MISS",
"credential": "FNP-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.