Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Julianne Alice Ivy, MD

Individual provider Pediatrics Physician · NPI 1073173597

Julianne Alice Ivy, MD is a Pediatric Medicine in Hartford, Connecticut. Qualified in 2019, 7 years ago. Practices as a sole proprietor and works from 3 locations. Licensed in Connecticut and Missouri.

Years since qualifying
7
Licensed in
CT, MO
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

76 New Britain Ave
Hartford, CT 06106-3305
Phone: (860) 545-9300
Fax: (860) 343-7379
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 167 North Main Street, Tuba City, AZ 86045 — (928) 283-2679
  • 1 Childrens Pl Ste 3s34, Saint Louis, MO 63110-1081 — (314) 454-6006

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 85390 (CT)
Pediatrics Physician Taxonomy 208000000X · Licence 2019018901 (MO)

Record details

NPI number1073173597
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 17, 2019
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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