Active NPI
Judith Mary Nash, RN FNP
- Nurse Practitioner
- Garberville, CA
National Provider Identifier
1215001920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP9649
- Practice address
- 733 Cedar St
Garberville, CA 95542-3201 - Phone
- (707) 923-3921
- Fax
- (707) 923-3902
- NPI assigned
- Nov 17, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP9649 | CA | Primary |
Addresses
Primary practice location
733 Cedar St
Garberville, CA 95542-3201
Mailing address
PO Box 39
Petrolia, CA 95558
Phone (707) 629-3318
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP9649 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397433600000",
"number": "1215001920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 39",
"city": "PETROLIA",
"state": "CA",
"postal_code": "95558",
"telephone_number": "707-629-3318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 CEDAR ST",
"city": "GARBERVILLE",
"state": "CA",
"postal_code": "955423201",
"telephone_number": "707-923-3921",
"fax_number": "707-923-3902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASH",
"first_name": "JUDITH",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "RN FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2014-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP9649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garberville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.