Judy L Sudo, DNP, MSA, ACAGNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

4704130424 Issued in MI

Practice address

19840 Harper Ave
Harper Woods, MI 48225-1804

Phone

(630) 832-1775

NPI assigned

Apr 22, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Paragon Clinical LLC

  • Nurse Practitioner
  • Burr Ridge, IL
  • NPI 1114139946

  Acute Care

  NPD
• Osf Multi-Specialty Group

  • Internal Medicine Physician
  • Peoria, IL
  • NPI 1922445527
  NPD (past)

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1225658099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 MCCLINTOCK DR STE 360",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270875",
            "telephone_number": "630-310-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19840 HARPER AVE",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251804",
            "telephone_number": "630-832-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDO",
        "first_name": "JUDY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DNP, MSA, ACAGNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704130424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Staffing in Advance
• Jacqueline Starkey
• Yolanda Loui Stephens
• Antonio Stinson
• Andrea Ann Stone
• Sara Sulkowski, LMSW
• Sonia Ann Sultana
• Summit Behavioral Health Services LLC
• Sunshine Homes 3
• Sunshine Homes LLC

• Acute Care Nurse Practitioner in Harper Woods, MI
• Providers in Harper Woods, MI by specialty
• Acute Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.