Active NPI
Judy Long
- Lactation Consultant (Non-RN)
- Sunnyvale, CA
National Provider Identifier
1194156695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- L-25465
- Practice address
- 301 Old San Francisco Rd
Sunnyvale, CA 94086-6386 - Phone
- (408) 523-3681
- NPI assigned
- Dec 9, 2013
- 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 |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L-25465 | CA | Primary |
Addresses
Primary practice location
301 Old San Francisco Rd
Sunnyvale, CA 94086-6386
Mailing address
301 Old San Francisco Rd
Sunnyvale, CA 94086-6386
Phone (408) 523-3681
Other names 1
- Miss Judy Nutt
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 |
|---|---|---|---|
| L-25465 | CA | MD | Lactation Consultant (Non-RN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386547200000",
"number": "1194156695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 OLD SAN FRANCISCO RD",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940866386",
"telephone_number": "408-523-3681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 OLD SAN FRANCISCO RD",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940866386",
"telephone_number": "408-523-3681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "JUDY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-09",
"last_updated": "2013-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "CA",
"license": "L-25465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUDY",
"last_name": "NUTT",
"prefix": "MISS",
"credential": "IBCLC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.