Active NPI
Judith K Earley, MFT
- Marriage & Family Therapist
- Iowa City, IA
National Provider Identifier
1063579134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 00230
- Practice address
- 722 West Side Drive
Iowa City, IA 52246-4369 - Phone
- (319) 331-2327
- Fax
- (319) 341-7727
- NPI assigned
- Jan 1, 2007
- Last updated
- Aug 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 00230 | IA | Primary |
Addresses
Primary practice location
722 West Side Drive
Iowa City, IA 52246-4369
Mailing address
722 West Side Drive
Iowa City, IA 52246-4369
Phone (319) 331-2327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00230 | IA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312243200000",
"number": "1063579134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "722 WEST SIDE DRIVE",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522464369",
"telephone_number": "319-331-2327",
"fax_number": "319-341-7727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 WEST SIDE DRIVE",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522464369",
"telephone_number": "319-331-2327",
"fax_number": "319-341-7727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARLEY",
"first_name": "JUDITH",
"middle_name": "K",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-01",
"last_updated": "2011-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IA",
"license": "00230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.