Active NPI
Judy Karen Phipps, RN, FNP-C
- Family Nurse Practitioner
- Belton, TX
National Provider Identifier
1093777450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 243833
- Practice address
- 65 Cedar Trails Dr
Belton, TX 76513-6507 - Phone
- (254) 780-9891
- Fax
- (254) 780-9869
- NPI assigned
- Apr 3, 2006
- Last updated
- Sep 9, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 243833 | TX | Primary |
Addresses
Primary practice location
65 Cedar Trails Dr
Belton, TX 76513-6507
Mailing address
65 Cedar Trails Dr
Belton, TX 76513-6507
Phone (254) 780-9891
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8N8661 | Other | TX | BCBS |
| 92913503 | Medicaid | TX | |
| P00255181 | Other | TX | RAILROAD |
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)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harden Clinical Services LLC | Past | Accepting new patients | |
| .Sunstar Geriatrics Healthcare PA | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Geriatric Medicine (Internal Medicine) Physician
- Georgetown, TX
- NPI 1033151428
-
dba Harden Clinical Services
- Geriatric Medicine (Internal Medicine) Physician
- Austin, TX
- NPI 1013247980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315526400000",
"number": "1093777450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 CEDAR TRAILS DR",
"city": "BELTON",
"state": "TX",
"postal_code": "765136507",
"telephone_number": "254-780-9891",
"fax_number": "254-780-9869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 CEDAR TRAILS DR",
"city": "BELTON",
"state": "TX",
"postal_code": "765136507",
"telephone_number": "254-780-9891",
"fax_number": "254-780-9869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHIPPS",
"first_name": "JUDY",
"middle_name": "KAREN",
"credential": "RN, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-03",
"last_updated": "2011-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "243833",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8N8661",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "92913503",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00255181",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Belton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.