Julie Lynn Airhart, CPN, CNS

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

20121732 Issued in MD

Practice address

88TH Medical Group/ Pediatric Clinic
4881 Sugar Maple Drive
Wright-Patterson Afb, OH 45433-5529

Phone

(937) 713-1927

Fax

(937) 656-0135

NPI assigned

Apr 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1992449607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88TH MEDICAL GROUP/ PEDIATRIC CLINIC",
            "address_2": "4881 SUGAR MAPLE DRIVE",
            "city": "WRIGHT-PATTERSON AFB",
            "state": "OH",
            "postal_code": "454335529",
            "telephone_number": "937-713-1927",
            "fax_number": "937-656-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88TH MEDICAL GROUP/ PEDIATRIC CLINIC",
            "address_2": "4881 SUGAR MAPLE DRIVE",
            "city": "WRIGHT-PATTERSON AFB",
            "state": "OH",
            "postal_code": "454335529",
            "telephone_number": "937-713-1927",
            "fax_number": "937-656-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIRHART",
        "first_name": "JULIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CPN, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28240036A",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "MD",
            "license": "20121732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 88TH Medgrp-Wright-Patterson
• Candace A Adedokun, MD
• Olivia N Akah, PHARMD
• Hassan Al-Shammaa
• Mark Christopher Albright, CRNA
• Talib Y Ali, M.D.
• Jose Alicea la Santa, PH.D.

• Pediatric Registered Nurse in Wright-Patterson Afb, OH
• Providers in Wright-Patterson Afb, OH by specialty
• Pediatric Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.