Active NPI
Julia M Carr, MD
- Pediatrics Physician
- Tualatin, OR
National Provider Identifier
1962768622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD174178
- Practice address
- 19260 SW 65TH Ave
Suite 340
Tualatin, OR 97062-5701 - Phone
- (503) 691-6777
- NPI assigned
- Apr 6, 2012
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD174178 | OR | Primary |
Addresses
Primary practice location
19260 SW 65TH Ave
Suite 340
Tualatin, OR 97062-5701
Mailing address
19260 SW 65TH Ave
Suite 340
Tualatin, OR 97062-5701
Phone (503) 691-6777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130311000179 | OR | Order and Referring Only - Pediatric Medicine | 4284889650 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD174178 | OR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Clinic PC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- jcarr70230@direct.lhs.org
Organizations & group practices 1
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": "1333670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456185600000",
"number": "1962768622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19260 SW 65TH AVE",
"address_2": "SUITE 340",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970625701",
"telephone_number": "503-691-6777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19260 SW 65TH AVE",
"address_2": "SUITE 340",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970625701",
"telephone_number": "503-691-6777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "JULIA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-06",
"last_updated": "2016-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OR",
"license": "MD174178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.