Active NPI
Julie Lynn Barclay, FNP-C
- Family Nurse Practitioner
- Peoria, IL
National Provider Identifier
1891206892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209016739
- Practice address
- 530 NE Glen Oak Ave
Peoria, IL 61637-5098 - Phone
- (309) 655-2000
- NPI assigned
- Oct 17, 2017
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 209016739 | IL | Primary |
Addresses
Primary practice location
530 NE Glen Oak Ave
Peoria, IL 61637-5098
Mailing address
402 S 9TH St
Cuba, IL 61427-5164
Phone (309) 657-8192
Other practice location 1
5401 N Knoxville Ave
Peoria, IL 61614-5098
Phone (309) 691-1000 ext. 1069
Other practice location 2
600 S 13th St
Pekin, IL 61554-4936
Phone (309) 347-1151
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
| License | State | Type | Specialty |
|---|---|---|---|
| 209016739 | IL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1891206892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 S 9TH ST",
"city": "CUBA",
"state": "IL",
"postal_code": "614275164",
"telephone_number": "309-657-8192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 NE GLEN OAK AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616375098",
"telephone_number": "309-655-2000"
}
],
"practiceLocations": [
{
"address_1": "5401 N Knoxville Ave",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "IL",
"postal_code": "616145098",
"country_code": "US",
"telephone_number": "309-691-1000 x1069",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 S 13th St",
"address_purpose": "LOCATION",
"city": "Pekin",
"state": "IL",
"postal_code": "615544936",
"country_code": "US",
"telephone_number": "309-347-1151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARCLAY",
"first_name": "JULIE",
"middle_name": "LYNN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-17",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209016739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.