Active NPI
Judith E Laky, RN
- Administrator Registered Nurse
- Saint Petersburg, FL
National Provider Identifier
1073970935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- License
- 2130562
- Practice address
- 1653 Watermark Cir NE
Unit a
Saint Petersburg, FL 33702-7068 - Phone
- (727) 403-0757
- NPI assigned
- Jan 24, 2016
- 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 |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | 2130562 | FL | Primary |
Addresses
Primary practice location
1653 Watermark Cir NE
Unit a
Saint Petersburg, FL 33702-7068
Mailing address
1653 Watermark Cir NE
Unit a
Saint Petersburg, FL 33702-7068
Phone (727) 403-0757
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2130562 | FL | MD | Administrator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453593600000",
"number": "1073970935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1653 WATERMARK CIR NE",
"address_2": "UNIT A",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337027068",
"telephone_number": "727-403-0757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1653 WATERMARK CIR NE",
"address_2": "UNIT A",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337027068",
"telephone_number": "727-403-0757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAKY",
"first_name": "JUDITH",
"middle_name": "E",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-24",
"last_updated": "2016-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "FL",
"license": "2130562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.