Judith C Longworth, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

633826 Issued in TX

Practice address

740 S Alamo
San Antonio, TX 78205-3437

Phone

(210) 222-0333

Fax

(210) 222-0369

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)

Enrolled

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.

• South Alamo Medical Group, P.a.

  • Pediatrics Physician
  • San Antonio, TX
  • NPI 1316023773
  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": "1300147200000",
    "number": "1245227875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 S ALAMO",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782053437",
            "telephone_number": "210-222-0333",
            "fax_number": "210-222-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S ALAMO",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782053437",
            "telephone_number": "210-222-0333",
            "fax_number": "210-222-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGWORTH",
        "first_name": "JUDITH",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "633826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160866301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Longoria, MS, ATC, LAT, CES
• Steven Brent Longoria, LPC
• Valerie Longoria, PHARMD
• Veronica Longoria
• Yvette Longoria, LPC
• Alexis Lonning, APRN
• Ellen Lima Lonsdale, APRN, FNP-C
• Marcia E Loomis, MSN RN CCNS AC
• Jeanne H Loop, REGISTERES DIETITIAN
• Amanda Rose Loper

• Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.