Individual provider Active NPI

Julie Ann Vanduine, FNP

  • Family Nurse Practitioner
  • Boulder, CO
National Provider Identifier
1972071090
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0994385-NP Issued in CO
Practice address
6685 Gunpark Dr Ste 102
Boulder, CO 80301-3343
Phone
(303) 415-5810
Fax
(303) 415-5820
NPI assigned
Nov 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0994385-NP CO Primary
Registered Nurse 163W00000X RN0185085 CO

Addresses

Primary practice location

6685 Gunpark Dr Ste 102
Boulder, CO 80301-3343

Mailing address

5450 Western Ave
Boulder, CO 80301-2709
Phone (303) 415-5199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20190306003433 CO Practitioner - Nurse Practitioner 9335488477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boulder Community HealthGroup PAC ID 6800707233, 260 clinicians

Practice addresses (Care Compare)

101 Erie Pkwy
Suite 101
Erie, CO 80516-4071
Phone (303) 415-5810

1755 48TH St
Suite 200
Boulder, CO 80301-2712
Phone (303) 415-7450

5495 Arapahoe Ave
Boulder, CO 80303-1224

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN0185085COMDRegistered Nurse
APN.0994385-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Community Health CurrentSince Mar 1, 2019 Accepting new patients
Boulder Community Health CurrentSince Mar 1, 2019 Accepting new patients
Boulder Community Health Current Accepting new patients

Locations

4743 Arapahoe Ave
Ste 100
Boulder, CO 80303
Phone (303) 415-4599

5495 Arapahoe Ave
Ste 100G
Boulder, CO 80303
Phone (303) 415-4246

6685 Gunpark Dr
Ste 102
Boulder, CO 80301
Phone (303) 415-5199

5450 Western Ave
Boulder, CO 80301
Phone (303) 415-4770

1645 Broadway
Boulder, CO 80302
Phone (303) 415-8900

1755 48th St
Ste 200
Boulder, CO 80301
Phone (303) 415-7450

101 Erie Pkwy
Ste 101
Erie, CO 80516
Phone (303) 415-5810

2101 Ken Pratt Blvd
Ste 104G
Longmont, CO 80501
Phone (303) 415-4246

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 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1972071090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 WESTERN AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012709",
            "telephone_number": "303-415-5199",
            "fax_number": "303-415-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6685 GUNPARK DR STE 102",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013343",
            "telephone_number": "303-415-5810",
            "fax_number": "303-415-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDUINE",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0994385-NP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN0185085",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.