1649586496 NPI number — JULIA ANN HALL ARNP

Table of content: (NPI 1457358491)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649586496 NPI number — JULIA ANN HALL ARNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HALL
Provider First Name:
JULIA
Provider Middle Name:
ANN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
ARNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649586496
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/24/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4000 BUECHEL BANK RD APT 4100B
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOUISVILLE
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40225-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
502-452-0777
Provider Business Mailing Address Fax Number:
866-287-5090

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4000 BUECHEL BANK RD
Provider Second Line Business Practice Location Address:
AP4- 100B MEDICAL BUILDING
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40225
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-452-0777
Provider Business Practice Location Address Fax Number:
866-287-5090
Provider Enumeration Date:
08/30/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  3011697 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 363LF0000X , with the licence number: 28142728A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)