Judy A. Nelson, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0420008063 Issued in VT

Practice address

1 General Wing Rd
Rutland, VT 05701-4681

Phone

(802) 773-9131

Fax

(802) 775-6141

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Community Health Centers of the Rutland Region Inc

  • Federally Qualified Health Center (FQHC)
  • Rutland, VT
  • NPI 1467681114
  Medicare reassignment NPD
• Community Health Centers of the Rutland Region, Inc.

  • Family Medicine Physician
  • West Pawlet, VT
  • NPI 1104870922
  Medicare reassignment NPD
• Community Health Centers of the Rutland Region, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bomoseen, VT
  • NPI 1336193838
  Medicare reassignment NPD
• Community Health Centers of the Rutland Region, Inc.

  • Pediatrics Physician
  • Rutland, VT
  • NPI 1780969345
  Medicare reassignment NPD
• Community Health Centers of the Rutland Region Inc

  • Federally Qualified Health Center (FQHC)
  • Rutland, VT
  • NPI 1518613215
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1124152251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 ALLEN ST",
            "address_2": "STE 403",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014570",
            "telephone_number": "802-855-2027",
            "fax_number": "802-855-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GENERAL WING RD",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014681",
            "telephone_number": "802-773-9131",
            "fax_number": "802-775-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JUDY",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VT",
            "license": "0420008063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA NH",
            "identifier": "286234",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01177095",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002916",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP (MOHAWK VALLEY HP)",
            "identifier": "26156",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VT BLUE CROSS BLUE SHIELD",
            "identifier": "5457",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1345435-001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Daniel Naff, LCSW
• Andrea Nakamura, LCMH
• Andrew Francis Nardell, PT
• Blane Jon Nasveschuk, DMD
• Tyler Neilson
• Neurology Micropractice, P.C.
• Elizabeth Newman, M.D.
• David Reed Newton III
• Marian Elizabeth Neyman
• Nancy Ellis Nicholas, MOTR/L

• Pediatrics Physician in Rutland, VT
• Providers in Rutland, VT by specialty
• Pediatrics Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.

Verify at the official NPI Registry.