Cheryl Rae Judkins, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

53-79548-111 Issued in KS

Practice address

1391 E 120TH St
Olathe, KS 66061-9506

Phone

(816) 288-3083

NPI assigned

Feb 4, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11985/brand/1/csg/1/fhir/r4

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

• Prime Healthcare Physician Services - Providence Inc

  • General Practice Physician
  • Shawnee, KS
  • NPI 1356683213

  Family Medicine

  Medicare reassignment NPD (past)
• Prime Healthcare Physician Services - Providence Inc

  • General Practice Physician
  • Leavenworth, KS
  • NPI 1972119741
  NPD

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1023600780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 CHERRY AVE",
            "city": "OAKLEY",
            "state": "KS",
            "postal_code": "677481218",
            "telephone_number": "785-672-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1391 E 120TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660619506",
            "telephone_number": "816-288-3083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3550 S 4th St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Leavenworth",
            "state": "KS",
            "postal_code": "660485061",
            "country_code": "US",
            "telephone_number": "913-680-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8919 Parallel Pkwy Ste 250",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661121655",
            "country_code": "US",
            "telephone_number": "913-596-3152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUDKINS",
        "first_name": "CHERYL",
        "middle_name": "RAE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "53-79548-111",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-79548-111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Cheryl.judkins01@frontier.edu",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1391 E 120th St",
            "city": "Olathe",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660619506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth Jost
• Journey Counseling KC LLC
• Joann Juarez
• Juda Transportation Services
• Emma E Judd, MS,RD,LD
• Morgan Elizabeth Julo, DC
• Ingeon Jung
• Anthony Ray Justesen, MD
• Michael George Kahler, DDS
• Natalie Katherine Kaiser, OTD, OTR/L

• Nurse Practitioner in Olathe, KS
• Providers in Olathe, KS by specialty
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.