Individual provider Active NPI

Katilyn Emani Julian, APN

  • Nurse Practitioner
  • Cherry Hill, NJ
National Provider Identifier
1962134098
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ01431500 Issued in NJ
Practice address
1 Brace Road
H1
Cherry Hill, NJ 08034
Phone
(856) 547-0389
NPI assigned
Jun 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR19124200 NJ
Nurse Practitioner 363L00000X 26NJ01431500 NJ Primary

Addresses

Primary practice location

1 Brace Road
H1
Cherry Hill, NJ 08034

Mailing address

624 Schaeffer Ave
Woodbury, NJ 08096-6632

Other practice location 1

1105 Laurel Oak Rd Ste 166
Voorhees, NJ 08043-4312
Phone (856) 309-5869

Other practice location 2

728 Marne Hwy Ste 100C-2
Moorestown, NJ 08057-3128
Phone (856) 309-5869

Other practice location 3

1600 Haddon Ave
Camden, NJ 08103-3101
Phone (856) 757-3958

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kjulian248325@directvirtua.org
Direct Messaging Address kjulian248325@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20240628001800 NJ Practitioner - Nurse Practitioner 0648714857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rutgers New Jersey Medical School, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

1 Brace Rd
Suite H1
Cherry Hill, NJ 08034-2600
Phone (856) 547-0389

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR19124200NJMDRegistered Nurse
26NJ01431500NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Aug 18, 2024 Accepting new patients
Virtua Medical Group, PA Nurse Practitioner CurrentSince Aug 18, 2024 Accepting new patients
Virtua Medical Group, PA CurrentSince Aug 18, 2024 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1600 Haddon Ave
Camden, NJ 08103
Phone (609) 757-3500

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

1 Brace Rd
Bldg 1-H
Cherry Hill, NJ 08034
Phone (856) 547-0389

303 Lippincott Dr
Ste 200
Marlton, NJ 08053
Phone (856) 355-0335

728 Marne Hwy
Ste 100C2
Moorestown, NJ 08057
Phone (856) 309-5869

1105 Laurel Oak Rd
Ste 166
Voorhees, NJ 08043
Phone (856) 309-5869

Interoperability endpoints

  • Direct secure messaging: kjulian248325@directvirtua.org

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1962134098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 SCHAEFFER AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080966632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRACE ROAD",
            "address_2": "H1",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08034",
            "telephone_number": "856-547-0389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Laurel Oak Rd Ste 166",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080434312",
            "country_code": "US",
            "telephone_number": "856-309-5869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "728 Marne Hwy Ste 100C-2",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080573128",
            "country_code": "US",
            "telephone_number": "856-309-5869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Haddon Ave",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081033101",
            "country_code": "US",
            "telephone_number": "856-757-3958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JULIAN",
        "first_name": "KATILYN",
        "middle_name": "EMANI",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR19124200",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01431500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kjulian248325@directvirtua.org",
            "affiliation": "N",
            "address_1": "1 Brace Road",
            "address_2": "H1",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kjulian248325@directvirtua.org",
            "affiliation": "N",
            "address_1": "1105 Laurel Oak Rd Ste 166",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080434312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.