Active NPI
Judy Carol Fletcher, RN
- Gerontology Registered Nurse
- Montrose, CO
National Provider Identifier
1104355015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Registered Nurse
- License
- RN0068047
- Practice address
- 1800 Pavillion Dr
Montrose, CO 81401 - Phone
- (970) 249-7015
- NPI assigned
- Jun 6, 2017
- 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 |
|---|---|---|---|---|
| Gerontology Registered Nurse | 163WG0600X | RN0068047 | CO | Primary |
Addresses
Primary practice location
1800 Pavillion Dr
Montrose, CO 81401
Mailing address
265 Black Sage Rd
Crawford, CO 81415-9141
Phone (970) 270-2790
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 |
|---|---|---|---|
| RN0068047 | CO | MD | Gerontology Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496707200000",
"number": "1104355015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 BLACK SAGE RD",
"city": "CRAWFORD",
"state": "CO",
"postal_code": "814159141",
"telephone_number": "970-270-2790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 PAVILLION DR",
"city": "MONTROSE",
"state": "CO",
"postal_code": "81401",
"telephone_number": "970-249-7015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "JUDY",
"middle_name": "CAROL",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-06",
"last_updated": "2017-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Gerontology",
"state": "CO",
"license": "RN0068047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montrose, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.