Individual provider Active NPI

Dannie Julio

  • Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1962027516
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95021146 Issued in CA
Practice address
727 Kedzie Ave
San Diego, CA 92154-2650
Phone
(619) 758-5868
NPI assigned
Jun 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal Newborn Registered Nurse 163WM0102X 95038248 CA
Nurse Practitioner 363L00000X 95021146 CA Primary

Addresses

Primary practice location

727 Kedzie Ave
San Diego, CA 92154-2650

Mailing address

727 Kedzie Ave
San Diego, CA 92154-2650
Phone (619) 758-5868

Other identifiers 1

IdentifierTypeStateIssuer
95038248OtherCARN

Other names 1

  • Dannie Millis Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL danniejulio@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20230712003346 CA Practitioner - Nurse Practitioner 6204296072 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Supportive Medical Specialists, a Medical Corporation CurrentSince Apr 23, 2023 Accepting new patients
The Elizabeth Hospice, Inc. PastSince Feb 17, 2017 Accepting new patients

Locations

800 W Valley Pkwy
Ste 203
Escondido, CA 92025
Phone (760) 796-3763

27720 Jefferson Ave
Ste 200
Temecula, CA 92590
Phone (760) 796-3758

Organizations & group practices 2

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": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1962027516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 KEDZIE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921542650",
            "telephone_number": "619-758-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 KEDZIE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921542650",
            "telephone_number": "619-758-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULIO",
        "first_name": "DANNIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "CA",
            "license": "95038248",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95021146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "95038248",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "danniejulio@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "727 Kedzie Ave",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921542650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DANNIE",
            "last_name": "MILLIS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.