Individual provider Active NPI

Judilynn Ferlow, FNP-C

  • Family Nurse Practitioner
  • Kent, CT
National Provider Identifier
1013765049
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13058 Issued in CT
Practice address
64 Maple St Ste a
Kent, CT 06757-1721
Phone
(860) 419-5925
NPI assigned
May 6, 2024
Last updated
May 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X 16144 CT
Registered Nurse 163W00000X 144242 CT
Registered Nurse 163W00000X RN84461 ME
Family Nurse Practitioner 363LF0000X 13058 CT Primary

Addresses

Primary practice location

64 Maple St Ste a
Kent, CT 06757-1721

Mailing address

69 Hilltop View Rd
New Milford, CT 06776-4223
Phone (203) 770-9670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240717004682 CT Practitioner - Nurse Practitioner 5597200287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mobile Care Partners of Connecticut PLLCGroup PAC ID 0547691834, 5 clinicians

Practice addresses (Care Compare)

64 Maple St
Kent, CT 06757-1721
Phone (860) 419-5925

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16144CTMDBasic Emergency Medical Technician
RN84461MEMDRegistered Nurse
13058CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Care Partners of Connecticut PLLC CurrentSince Apr 29, 2024 Accepting new patients

Locations

64 Maple St
Kent, CT 06757
Phone (860) 419-5925

64 Maple St
Ste A
Kent, CT 06757
Phone (860) 419-5925

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21553/brand/1/csg/1/fhir/r4
  • Direct secure messaging: judilynn.ferlow.1@21553.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1013765049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 HILLTOP VIEW RD",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067764223",
            "telephone_number": "203-770-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 MAPLE ST STE A",
            "city": "KENT",
            "state": "CT",
            "postal_code": "067571721",
            "telephone_number": "860-419-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERLOW",
        "first_name": "JUDILYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "CT",
            "license": "16144",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "144242",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "RN84461",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "13058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, CT

Sources for this page

Verify at the official NPI Registry.