Judith Celik, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN088702 Issued in AZ

Practice address

6040 E Main St
# 220
Mesa, AZ 85205-8928

Phone

(602) 390-6655

Fax

(480) 924-8256

NPI assigned

Jun 15, 2005

Last updated

Mar 4, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

Practice roles

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.

• Sun Health Services

  • Community Health Clinic/Center
  • Surprise, AZ
  • NPI 1326463779
  NPD (past)
• Haaku Health

  • Health Service Clinic/Center
  • San Fidel, NM
  • NPI 1962384438
  NPD (past)

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1225033491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 E MAIN ST",
            "address_2": "# 220",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058928",
            "telephone_number": "602-390-6655",
            "fax_number": "480-924-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 E MAIN ST",
            "address_2": "# 220",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058928",
            "telephone_number": "602-390-6655",
            "fax_number": "480-924-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELIK",
        "first_name": "JUDITH",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN088702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERIDIAN",
            "identifier": "62305",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "539893",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CD Orthopaedics LLC (Expert Orthospine)
• CDW Chiropractic PC
• Robert Cederberg, D.D.S.
• Romano Silva Cedillos, MS, LAC
• Celestine Tchikounzi PLLC
• Destiny Dollie Celis
• Moises Celis
• Adnan Celjo, M.D.
• Delfina Ceniceros
• Center for Colon and Rectal Diseases PLC

• Family Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.

Verify at the official NPI Registry.