Active NPI
Judith Oldendorf, RNC BSN
- Obstetrics & Gynecology Nurse Practitioner
- Colorado Springs, CO
National Provider Identifier
1265428668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 67819
- Practice address
- 140 Parkside Dr
Colorado Springs, CO 80910-3129 - Phone
- (719) 471-3471
- Fax
- (719) 471-0744
- NPI assigned
- Sep 21, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 67819 | CO | Primary |
Addresses
Primary practice location
140 Parkside Dr
Colorado Springs, CO 80910-3129
Mailing address
140 Parkside Dr
Colorado Springs, CO 80910-3129
Phone (719) 471-3471
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
- Credentials
- Bachelor on Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67819 | CO | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1265428668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 PARKSIDE DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809103129",
"telephone_number": "719-471-3471",
"fax_number": "719-471-0744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 PARKSIDE DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809103129",
"telephone_number": "719-471-3471",
"fax_number": "719-471-0744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLDENDORF",
"first_name": "JUDITH",
"credential": "RNC BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-21",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "CO",
"license": "67819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.