Julie M Zavala, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

123035 Issued in CO

Practice address

9197 Grant St
Suite 100
Thornton, CO 80229-4361

Phone

(303) 869-2173

Fax

(303) 962-1515

NPI assigned

Oct 2, 2008

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

Other identifiers 2

Other names 1

• Julie M Wahlstrom Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: julie.zavala.1@14034.direct.athenahealth.com
• Direct secure messaging: julie.zavala@corhio.medicity.net

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.

• Rocky Mountain Youth Medical & Nursing Consultants Inc

  • Pediatrics Physician
  • Thornton, CO
  • NPI 1730295296
  NPD
• Rocky Mountain Youth Medical and Nursing Consultants, Inc

  • Multi-Specialty Clinic/Center
  • Aurora, CO
  • NPI 1326543497
  NPD (past)

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1952552408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9197 GRANT ST",
            "address_2": "SUITE 100",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294361",
            "telephone_number": "303-869-2173",
            "fax_number": "303-962-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9197 GRANT ST",
            "address_2": "SUITE 100",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294361",
            "telephone_number": "303-869-2173",
            "fax_number": "303-962-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVALA",
        "first_name": "JULIE",
        "middle_name": "M",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "123035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "123035",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13202847",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "WAHLSTROM",
            "middle_name": "M",
            "credential": "PNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stacy Zander
• Jonathyn Zapf I
• Trina Marie Zaragoza, NBC-HWC
• David Zarou, D.O.
• Carolyn Linda Zatko, LPC, LAC
• Christine Aubrey Zeitlin, M.A., CCC-SLP
• Annarose Zelano, COTA
• Auxiliadora Zeledon
• Weston Zink, LPC LAC
• Kelsey Zinser, DMD

• Pediatric Nurse Practitioner in Thornton, CO
• Providers in Thornton, CO by specialty
• Pediatric Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.