Active NPI
Judith Anne Combs, CNA
- Community Health Worker
- Marshfield, MO
National Provider Identifier
1194151811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 60308A
- Practice address
- 302 N Olive St
Marshfield, MO 65706-1359 - Phone
- (417) 413-7764
- NPI assigned
- Sep 26, 2013
- Last updated
- Sep 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 60308A | MO | Primary |
Addresses
Primary practice location
302 N Olive St
Marshfield, MO 65706-1359
Mailing address
302 N Olive St
Marshfield, MO 65706-1359
Phone (417) 413-7764
Other names 1
- Judith Anne Lentini
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 |
|---|---|---|---|
| 60308A | MO | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380153600000",
"number": "1194151811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 N OLIVE ST",
"city": "MARSHFIELD",
"state": "MO",
"postal_code": "657061359",
"telephone_number": "417-413-7764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 N OLIVE ST",
"city": "MARSHFIELD",
"state": "MO",
"postal_code": "657061359",
"telephone_number": "417-413-7764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMBS",
"first_name": "JUDITH",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-26",
"last_updated": "2013-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "MO",
"license": "60308A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUDITH",
"last_name": "LENTINI",
"middle_name": "ANNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Marshfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.