Individual provider Active NPI

Julie Bredt, ARNP-FNP

  • Family Nurse Practitioner
  • Ponte Vedra, FL
National Provider Identifier
1881183440
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9281213 Issued in FL
Practice address
86 Sagebrush TRL
Ponte Vedra, FL 32081-0996
Phone
(813) 326-0005
Fax
(904) 914-9498
NPI assigned
May 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9281213 FL Primary

Addresses

Primary practice location

86 Sagebrush TRL
Ponte Vedra, FL 32081-0996

Mailing address

86 Sagebrush TRL
Ponte Vedra, FL 32081-0996
Phone (813) 326-0005

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9281213FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bluebird Pediatrics CurrentSince Sep 23, 2021 Accepting new patients

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": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1881183440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 SAGEBRUSH TRL",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320810996",
            "telephone_number": "813-326-0005",
            "fax_number": "904-914-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 SAGEBRUSH TRL",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320810996",
            "telephone_number": "813-326-0005",
            "fax_number": "904-914-9498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREDT",
        "first_name": "JULIE",
        "credential": "ARNP-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9281213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.