Individual provider Active NPI

Julie L Knox-Woodward, NP

  • Nurse Practitioner
  • Pahrump, NV
National Provider Identifier
1962556969
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN000856 Issued in NV
Practice address
1470 E Calvada Blvd Ste 100
Pahrump, NV 89048-3906
Phone
(775) 210-8333
Fax
(775) 346-9158
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN000856 NV Primary

Addresses

Primary practice location

1470 E Calvada Blvd Ste 100
Pahrump, NV 89048-3906

Mailing address

1470 E Calvada Blvd Ste 100
Pahrump, NV 89048-3906

Other practice location 1

2809 W Charleston Blvd Ste 150
Las Vegas, NV 89102-1998
Phone (702) 476-9999

Other identifiers 1

IdentifierTypeStateIssuer
1962556969MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20050616000447 NV Practitioner - Nurse Practitioner 2062456452 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN000856NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coppel Medical Enterprise LLC CurrentSince Feb 7, 2018 Accepting new patients
Allison Curtis Kingsley Meoz Michael & Sanchez PC Nurse Practitioner Past Accepting new patients
Centennial Hills Hospital Medical Center PastSince Feb 7, 2018 Accepting new patients

Locations

1569 E Flamingo Rd
Las Vegas, NV 89119
Phone (701) 476-1800

2809 W Charleston Blvd
Ste 150
Las Vegas, NV 89102

2809 W Charleston Blvd
#150
Las Vegas, NV 89102
Phone 70247699997014

Interoperability endpoints

  • Direct secure messaging: julie.woodward@5193.chartlogic.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1962556969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 E CALVADA BLVD STE 100",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890483906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 E CALVADA BLVD STE 100",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890483906",
            "telephone_number": "775-210-8333",
            "fax_number": "775-346-9158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2809 W Charleston Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891021998",
            "country_code": "US",
            "telephone_number": "702-476-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNOX-WOODWARD",
        "first_name": "JULIE",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APN000856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962556969",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahrump, NV

Sources for this page

Verify at the official NPI Registry.