Judith Anne Hibel, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

ARNP1207462 Issued in FL

Practice address

500 N Federal Hwy
Lake Park, FL 33403-3598

Phone

(561) 863-0105

Fax

(561) 863-6779

NPI assigned

Sep 29, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Sallent'S Pediatric Respiratory Center

  • Pediatric Pulmonology Physician
  • Lake Park, FL
  • NPI 1760662175
  NPD (past)

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1215924865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N FEDERAL HWY",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334033598",
            "telephone_number": "561-863-0105",
            "fax_number": "561-863-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N FEDERAL HWY",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334033598",
            "telephone_number": "561-863-0105",
            "fax_number": "561-863-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBEL",
        "first_name": "JUDITH",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP1207462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303557300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Robert Collins Greer IV, D.O.
• Robert Collins Greer V, D.O.
• Holiday CVS LLC
• Iconic Eye Care Inc
• Imajica Mottley Medical Supply
• Daily Infante Lima
• JD Holdings

• Pediatric Nurse Practitioner in Lake Park, FL
• Providers in Lake Park, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.