Individual provider Active NPI

Judy Nham, NP

  • Family Nurse Practitioner
  • Ludlow, MA
National Provider Identifier
1205612389
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2267835 Issued in MA
Practice address
200 Center St Ste 18
Ludlow, MA 01056-2875
Phone
(413) 589-7176
NPI assigned
Sep 5, 2023
Last updated
Jan 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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 RN2267835 MA Primary

Addresses

Primary practice location

200 Center St Ste 18
Ludlow, MA 01056-2875

Mailing address

200 Center St
Ludlow, MA 01056-2772
Phone (413) 589-7176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240510000089 MA Practitioner - Nurse Practitioner 6204277064 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Gino Mercadante, P.C. CurrentSince Jan 12, 2026 Accepting new patients
System Coordinated Services, Inc PastSince Jan 12, 2025 Accepting new patients

Locations

200 Center St
Ludlow, MA 01056
Phone (413) 583-3600

200 Center St
Ste 18
Ludlow, MA 01056
Phone (413) 589-7176

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1205612389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CENTER ST",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010562772",
            "telephone_number": "413-589-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CENTER ST STE 18",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010562875",
            "telephone_number": "413-589-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NHAM",
        "first_name": "JUDY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2267835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludlow, MA

Sources for this page

Verify at the official NPI Registry.