Individual provider Active NPI

Julia Larsen, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Farmersville, TX
National Provider Identifier
1871964098
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP129335 Issued in TX
Practice address
107 McKinney St
Farmersville, TX 75442-2213
Phone
(972) 784-3064
Fax
(972) 784-3069
NPI assigned
Oct 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP129335 TX Primary

Addresses

Primary practice location

107 McKinney St
Farmersville, TX 75442-2213

Mailing address

107 McKinney St
Farmersville, TX 75442-2213
Phone (972) 784-3064

Other identifiers 2

IdentifierTypeStateIssuer
764964OtherTXRN LICENSE
AP129335OtherTXAPRN LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160210000168 TX Practitioner - Nurse Practitioner 2769786805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fernando M. Siles, MD, PLLC CurrentSince Sep 1, 2019 Accepting new patients

Locations

2405 Stonewall St
Greenville, TX 75401
Phone (903) 454-3300

Organizations & group practices 1

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": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1871964098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MCKINNEY ST",
            "city": "FARMERSVILLE",
            "state": "TX",
            "postal_code": "754422213",
            "telephone_number": "972-784-3064",
            "fax_number": "972-784-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MCKINNEY ST",
            "city": "FARMERSVILLE",
            "state": "TX",
            "postal_code": "754422213",
            "telephone_number": "972-784-3064",
            "fax_number": "972-784-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "JULIA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP129335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "764964",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "AP129335",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmersville, TX

Sources for this page

Verify at the official NPI Registry.