Individual provider Active NPI

Judith Dragon, ARNP

  • Nurse Practitioner
  • Punta Gorda, FL
National Provider Identifier
1174535595
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN1611472 Issued in FL
Practice address
713 E Marion Ave
Ste 141
Punta Gorda, FL 33950-3872
Phone
(941) 205-3200
Fax
(941) 639-7576
NPI assigned
Aug 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN1611472 FL Primary

Addresses

Primary practice location

713 E Marion Ave
Ste 141
Punta Gorda, FL 33950-3872

Mailing address

713 E Marion Ave
Ste 141
Punta Gorda, FL 33950-3872
Phone (941) 205-3200

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN1611472FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nutegra Mental Health and Nutrition Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1174535595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 E MARION AVE",
            "address_2": "STE 141",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503872",
            "telephone_number": "941-205-3200",
            "fax_number": "941-639-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 E MARION AVE",
            "address_2": "STE 141",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503872",
            "telephone_number": "941-205-3200",
            "fax_number": "941-639-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAGON",
        "first_name": "JUDITH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "RN1611472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.