Individual provider Active NPI

Judith Magnon, PSYCHIATRIC RN, CAC

  • Psychiatric/Mental Health Registered Nurse
  • Brooksville, FL
National Provider Identifier
1164971586
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
RN9179350 Issued in FL
Practice address
7300 Grove Rd
Brooksville, FL 34613-6012
Phone
(352) 678-5553
Fax
(352) 544-8354
NPI assigned
Sep 27, 2016
Last updated
Mar 7, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X RN9179350 FL
Psychiatric/Mental Health Registered Nurse 163WP0808X RN9179350 FL Primary

Addresses

Primary practice location

7300 Grove Rd
Brooksville, FL 34613-6012

Mailing address

7300 Grove Rd
Brooksville, FL 34613-6012
Phone (352) 678-5553

Other names 1

  • Judith Wing Former name

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
RN9179350FLMDAddiction (Substance Use Disorder) Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1164971586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 GROVE RD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136012",
            "telephone_number": "352-678-5553",
            "fax_number": "352-544-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 GROVE RD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136012",
            "telephone_number": "352-678-5553",
            "fax_number": "352-544-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNON",
        "first_name": "JUDITH",
        "credential": "PSYCHIATRIC RN, CAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-27",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "RN9179350",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "RN9179350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "WING",
            "credential": "PSYCHIATRIC RN, CAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.