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

MS. Julie Lynne Waterbury, APRN-FNP

Individual provider Nurse Practitioner · NPI 1447552260

MS. Julie Lynne Waterbury, APRN-FNP is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2010, 16 years ago. Practices with Vadim Baram MD Inc, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
16
Licensed in
MO
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

10420 Old Olive Street Rd Ste 205
Saint Louis, MO 63141-5937
Phone: (314) 504-4698
Fax: (314) 692-9978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2011023150 (MO)
Nurse Practitioner Taxonomy 363L00000X · Licence 2011023150 (MO)

Record details

NPI number1447552260
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-FNP
Sole proprietorYes
NPI enumeratedNovember 30, 2010
Last updated in NPPESJanuary 24, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Vadim Baram Md Inc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Saint Louis