Active NPI
Judith Dawe, CRNA
- Certified Registered Nurse Anesthetist
- Middletown, CT
National Provider Identifier
1275679003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 000098
- Practice address
- 80 S Main St
Middletown, CT 06457-3648 - Phone
- (860) 347-0720
- Fax
- (860) 347-0301
- NPI assigned
- Jan 29, 2007
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 000098 | CT | Primary |
Addresses
Primary practice location
80 S Main St
Middletown, CT 06457-3648
Mailing address
80 S Main St
Middletown, CT 06457-3648
Phone (860) 347-0720
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000098 | CT | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275679003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 S MAIN ST",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064573648",
"telephone_number": "860-347-0720",
"fax_number": "860-347-0301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 S MAIN ST",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064573648",
"telephone_number": "860-347-0720",
"fax_number": "860-347-0301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWE",
"first_name": "JUDITH",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CT",
"license": "000098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.