Active NPI
Julie Lynn Dodgen Huau, NNP-BC
- Critical Care Neonatal Nurse Practitioner
- Boise, ID
National Provider Identifier
1962975219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Neonatal Nurse Practitioner
- License
- 60428
- Practice address
- 1055 N Curtis Rd
Boise, ID 83706-1309 - Phone
- (208) 302-4600
- Fax
- (208) 302-4655
- NPI assigned
- Jan 9, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 60428 | ID | |
| Neonatal Intensive Care Registered Nurse | 163WN0002X | 61079183 | WA | |
| Neonatal Intensive Care Registered Nurse | 163WN0002X | 60428 | ID | |
| Neonatal Nurse Practitioner | 363LN0000X | AP61114357 | WA | |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 60428 | ID | Primary |
Addresses
Primary practice location
1055 N Curtis Rd
Boise, ID 83706-1309
Mailing address
PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170
Other practice location 1
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-4000 ext. 5088
Other practice location 2
101 W 8th Ave
Spokane, WA 99204-2307
Phone (509) 474-3131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60428 | ID | MD | Neonatal Intensive Care Registered Nurse |
| 61079183 | WA | MD | Neonatal Intensive Care Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Pediatrix Medical Group of Washington Inc PS | Neonatal | Past | Accepting new patients |
Locations
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400
Interoperability endpoints
- jhuau3327675@direct.trinity-health.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.
-
- Psychologist
- Boise, ID
- NPI 1649357716
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Neonatal-Perinatal Medicine Physician
- Seattle, WA
- NPI 1144327859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1962975219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190930",
"city": "BOISE",
"state": "ID",
"postal_code": "837190930",
"telephone_number": "208-367-5170",
"fax_number": "208-367-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 N CURTIS RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837061309",
"telephone_number": "208-302-4600",
"fax_number": "208-302-4655"
}
],
"practiceLocations": [
{
"address_1": "2003 Kootenai Health Way",
"address_purpose": "LOCATION",
"city": "Coeur D Alene",
"state": "ID",
"postal_code": "838146051",
"country_code": "US",
"telephone_number": "208-625-4000 x5088",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 W 8th Ave",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992042307",
"country_code": "US",
"telephone_number": "509-474-3131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUAU",
"first_name": "JULIE",
"middle_name": "LYNN DODGEN",
"credential": "NNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-09",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ID",
"license": "60428",
"primary": false
},
{
"code": "163WN0002X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neonatal Intensive Care",
"state": "WA",
"license": "61079183",
"primary": false
},
{
"code": "163WN0002X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neonatal Intensive Care",
"state": "ID",
"license": "60428",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "WA",
"license": "AP61114357",
"primary": false
},
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "ID",
"license": "60428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.