Active NPI
Judith C Waldroup, MASTERS IN EDUCATION
- Day Training/Habilitation Specialist
- Evansville, IN
National Provider Identifier
1124162342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- License
- 516576
- Practice address
- 3701 Bellemeade Ave
Evansville, IN 47714-0137 - Phone
- (812) 479-1411
- Fax
- (812) 437-2636
- NPI assigned
- Feb 19, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | 516576 | IN | Primary |
Addresses
Primary practice location
3701 Bellemeade Ave
Evansville, IN 47714-0137
Mailing address
3701 Bellemeade Ave
Evansville, IN 47714-0137
Phone (812) 479-1411
Other names 1
- Judith M Catt
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 |
|---|---|---|---|
| 516576 | IN | MD | Day Training/Habilitation Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124162342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 BELLEMEADE AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477140137",
"telephone_number": "812-479-1411",
"fax_number": "812-437-2636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 BELLEMEADE AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477140137",
"telephone_number": "812-479-1411",
"fax_number": "812-437-2636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDROUP",
"first_name": "JUDITH",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "MASTERS IN EDUCATION",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": "IN",
"license": "516576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUDITH",
"last_name": "CATT",
"middle_name": "M",
"credential": "MASTERS IN EDUCATION",
"code": "1",
"type": "Former Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.