Active NPI
Judy Moorman Birt, NP
- Nurse Practitioner
- Indianapolis, IL
National Provider Identifier
1033214945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71001146A
- Practice address
- 1481 W 10TH Street
Amb 11 Richard L Roudeloush VA Medical Center
Indianapolis, IL 46202 - Phone
- (317) 988-2205
- Fax
- (317) 988-4706
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71001146A | IN | Primary |
Addresses
Primary practice location
1481 W 10TH Street
Amb 11 Richard L Roudeloush VA Medical Center
Indianapolis, IL 46202
Mailing address
1481 W 10TH Street
Amb 11
Indianapolis, IL 46202
Phone (317) 988-2205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71001146A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Group LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1649220195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033214945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1481 W 10TH STREET",
"address_2": "AMB 11",
"city": "INDIANAPOLIS",
"state": "IL",
"postal_code": "46202",
"telephone_number": "317-988-2205",
"fax_number": "317-988-4706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1481 W 10TH STREET",
"address_2": "AMB 11 RICHARD L ROUDELOUSH VA MEDICAL CENTER",
"city": "INDIANAPOLIS",
"state": "IL",
"postal_code": "46202",
"telephone_number": "317-988-2205",
"fax_number": "317-988-4706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRT",
"first_name": "JUDY",
"middle_name": "MOORMAN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71001146A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IL
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.