Judith Ann Damstrom, R.N.

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

26NO09003500 Issued in NJ

Practice address

414 Creedmoor Rd
Jacksonville, NC 28546-6021

Phone

(910) 581-0116

NPI assigned

May 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013975374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 CREEDMOOR RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466021",
            "telephone_number": "910-581-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 CREEDMOOR RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466021",
            "telephone_number": "910-581-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMSTROM",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NJ",
            "license": "26NO09003500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Kristin Cuthrell, FNP-C
• CVS/Pharmacy
• Halimah Dabo, CERT. BUNGEE TRAINER
• Shelia Dabrowski
• Taylor Dameworth, DDS
• Daniel & Max, LLC (Stanton Optical)
• Daniel M. Hagan
• Daniel Whitley III DDS, PA
• Gabrielle Daniels
• Kiley Donita Daughtry, N/A

• Pediatric Registered Nurse in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Pediatric Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.