Individual provider Active NPI

Judith Margaret Hearthway, CRNP

  • Family Nurse Practitioner
  • Salisbury, MD
National Provider Identifier
1124341144
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R076822 Issued in MD
Practice address
2604 Old Ocean City Rd
Salisbury, MD 21804-4629
Phone
(410) 742-8732
Fax
(410) 543-8213
NPI assigned
Mar 4, 2010
Last updated
Mar 4, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R076822 MD Primary

Addresses

Primary practice location

2604 Old Ocean City Rd
Salisbury, MD 21804-4629

Mailing address

PO Box 1733
Salisbury, MD 21802-1733
Phone (410) 742-8732

Other identifiers 1

IdentifierTypeStateIssuer
R076822OtherMDSTATE LICENSE

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

LicenseStateTypeSpecialty
R076822MDMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1124341144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1733",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218021733",
            "telephone_number": "410-742-8732",
            "fax_number": "410-543-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 OLD OCEAN CITY RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218044629",
            "telephone_number": "410-742-8732",
            "fax_number": "410-543-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARTHWAY",
        "first_name": "JUDITH",
        "middle_name": "MARGARET",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-04",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R076822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "R076822",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.