1. Home
  2. Directory
  3. Tennessee
  4. Johnson City
  5. Physician Assistant
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JULIA STREET PA
NPI 1962300442
Physician Assistant in Johnson City, TN

Active since October 27, 2026
2410 SUSANNAH ST, JOHNSON CITY, TN 37601(423) 282-9011(423) 282-0035 Get Directions Write a Review

NPPES record added: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Julia Street Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JULIA STREET PA (NPI 1962300442) is an individual physician assistant in Johnson City, Tennessee and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1962300442
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJULIA STREETCredential: PA
Location Address2410 SUSANNAH STJohnson City, TN 37601-1748
Mailing Address2410 Susannah StJohnson City, TN 37601-1748 · (423) 282-9011 · Fax (423) 282-0035
Phone(423) 282-9011
Fax(423) 282-0035
Sole ProprietorNo
Enumeration DateOctober 27, 2026
NPPES CertifiedOctober 27, 2026
✔ NPI 1962300442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2410 SUSANNAH ST, Johnson City, TN 37601
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD W DUNCAN MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Washington County (423) 282-9011
MIKAYLA L. BOGULSKI
Physician Assistant
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Washington County (423) 282-9011
JORDAN FRAZIER SHELBURNE FNP
Nurse Practitioner (Family)
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Washington County (423) 282-9011
MICHELLE W LAMB PT
Physical Therapist
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Washington County (423) 282-9011
GREG L CROSS PT
Physical Therapist
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Washington County (423) 282-9011
MR. EVERETT VINCENT BAKER NURSE PRACTITIONER
Nurse Practitioner (Family)
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Washington County (423) 282-9011
MRS. ANDRIA MARIE ONISHI P.T.
Physical Therapist
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Washington County (423) 282-9011
WATAUGA ORTHOPAEDICS PLC
Orthopaedic Surgery
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Washington County (423) 282-9011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Julia Street's NPI number?

The NPI number for Julia Street is 1962300442. It was assigned to this individual provider in the NPPES registry on October 27, 2026.

Where is Julia Street located?

Julia Street practices at 2410 Susannah St, Johnson City, TN 37601. The listed phone number is (423) 282-9011.

What is Julia Street's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Julia Street was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.