Individual provider Active NPI

Julia Larocca, NP

  • Nurse Practitioner
  • Akron, OH
National Provider Identifier
1972978690
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
COA.18384-NP Issued in OH
Practice address
1 Akron General Ave
5TH Floor, Acc
Akron, OH 44307-2432
Phone
(330) 344-6015
Fax
(330) 344-6820
NPI assigned
Dec 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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 COA.18384-NP OH Primary

Addresses

Primary practice location

1 Akron General Ave
5TH Floor, Acc
Akron, OH 44307-2432

Mailing address

284 Owosso Ave
Fairlawn, OH 44333-3743

Other identifiers 5

IdentifierTypeStateIssuer
0454744OtherOHAKRON GENERAL MEDICAL CENTER MEDICAID GROUP # (IMCA)
0152618MedicaidOH
9338635OtherOHPARTNERS PHYSICIAN GROUP MEDICARE GROUP #
1841239274OtherOHPARTNERS PHYSICIAN GROUP TYPE 2 NPI #
3600271OtherOHAKRON GENERAL MEDICAL CENTER MEDICARE GROUP # (IMCA)

Other names 1

  • Julia Peterson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151228001776 OH Practitioner - Nurse Practitioner 1456652965 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.18384-NPOHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients

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": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1972978690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 OWOSSO AVE",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AKRON GENERAL AVE",
            "address_2": "5TH FLOOR, ACC",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443072432",
            "telephone_number": "330-344-6015",
            "fax_number": "330-344-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROCCA",
        "first_name": "JULIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-07",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.18384-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AKRON GENERAL MEDICAL CENTER MEDICAID GROUP # (IMCA)",
            "identifier": "0454744",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0152618",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP MEDICARE GROUP #",
            "identifier": "9338635",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP TYPE 2 NPI #",
            "identifier": "1841239274",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AKRON GENERAL MEDICAL CENTER MEDICARE GROUP # (IMCA)",
            "identifier": "3600271",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "PETERSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.