Judy Lynn Burgio, R.PH., C.N.

Primary specialty

Nutrition Support PharmacistTaxonomy code 1835N1003X

License

RPH32400 Issued in CA

Practice address

305 Morning Sun Ave
Mill Valley, CA 94941-3526

Phone

(415) 383-1908

Fax

(415) 389-8566

NPI assigned

Nov 16, 2009

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 16, 2009.

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1023345865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 MILLER AVE",
            "address_2": "PMB 162",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411927",
            "telephone_number": "415-383-1908",
            "fax_number": "415-389-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MORNING SUN AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413526",
            "telephone_number": "415-383-1908",
            "fax_number": "415-389-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGIO",
        "first_name": "JUDY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "R.PH., C.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-16",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "CA",
            "license": "RPH32400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Abrams DDS, PC
• Janet Buder, PT
• Lynda Suzanne Bunn, D.C.
• Tina Marie Buoncristiani, P.N.P.
• Erin J Burch
• Ashley Nicole Burnett, PA-C
• Kirsten Harman Burns, RDN
• Robert Thomas Burns, MD
• Sophia Burton, LCSW
• Pamela Ellen Butler, PH.D.

• All providers in Mill Valley, CA
• Nutrition Support Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.