Individual provider Active NPI

Judith Marie Hock

  • Registered Nurse
  • Wayzata, MN
National Provider Identifier
1245683986
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R116724-3 Issued in MN
Practice address
801 Twelve Oaks Center Dr
Suite 822
Wayzata, MN 55391-4601
Phone
(952) 456-6561
Fax
(952) 777-1668
NPI assigned
Jul 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R116724-3 MN Primary

Addresses

Primary practice location

801 Twelve Oaks Center Dr
Suite 822
Wayzata, MN 55391-4601

Mailing address

801 Twelve Oaks Center Dr
Suite 822
Wayzata, MN 55391-4601
Phone (952) 456-6561

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

State licenses

LicenseStateTypeSpecialty
R116724-3MNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1245683986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 TWELVE OAKS CENTER DR",
            "address_2": "SUITE 822",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553914601",
            "telephone_number": "952-456-6561",
            "fax_number": "952-777-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 TWELVE OAKS CENTER DR",
            "address_2": "SUITE 822",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553914601",
            "telephone_number": "952-456-6561",
            "fax_number": "952-777-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOCK",
        "first_name": "JUDITH",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R116724-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayzata, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.