Julie Elizabeth Dversdall, RN, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

COA.09824-NP Issued in OH

Practice address

2515 Clifton Ave
Cincinnati, OH 45219-1003

Phone

(513) 367-5888

Fax

(513) 367-1015

NPI assigned

Jan 17, 2007

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

Medicare fee-for-service enrollment

Enrolled in OH

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

Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

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 and National Provider Directory roles.

• Children'S Hospital Medical Center

  • Pediatrics Physician
  • Cincinnati, OH
  • NPI 1609915784
  Medicare reassignment NPD

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1871645994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 CLIFTON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452191003",
            "telephone_number": "513-367-5888",
            "fax_number": "513-367-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 CLIFTON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452191003",
            "telephone_number": "513-367-5888",
            "fax_number": "513-367-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DVERSDALL",
        "first_name": "JULIE",
        "middle_name": "ELIZABETH",
        "credential": "RN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "COA.09824-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelyn Duzyk, OTR/L
• Dva Healthcare Southwest Ohio LLC
• Dva Healthcare Southwest Ohio LLC
• Dva Healthcare Southwest Ohio LLC
• Dva Renal Healthcare, Inc
• Susan Vargo Dvorak, RD, LD
• Veronica Dwamena
• Michelle Nicole Dwertman, MSPT
• Cameron Dwyer, SWT
• Mollie Claire Dwyer, PA

• Pediatric Nurse Practitioner in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Pediatric Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.