Individual provider Active NPI

Judith Anne Morey, RN,BSN,CWOCN,APN

  • Clinical Nurse Specialist
  • Orland Park, IL
National Provider Identifier
1306002902
Registry record updated Sep 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
209.002068 Issued in IL
Practice address
60 Orland Square Dr
Suite 201
Orland Park, IL 60462-6548
Phone
(708) 226-9055
Fax
(708) 226-9054
NPI assigned
Aug 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X 209.002068 IL Primary

Addresses

Primary practice location

60 Orland Square Dr
Suite 201
Orland Park, IL 60462-6548

Mailing address

60 Orland Square Dr
Suite 201
Orland Park, IL 60462-6548
Phone (708) 226-9055

Other identifiers 1

IdentifierTypeStateIssuer
041204911MedicaidIL

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
209.002068ILMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Care SC PastSince Jun 23, 2009 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1217721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251936000000",
    "number": "1306002902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 ORLAND SQUARE DR",
            "address_2": "SUITE 201",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626548",
            "telephone_number": "708-226-9055",
            "fax_number": "708-226-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 ORLAND SQUARE DR",
            "address_2": "SUITE 201",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626548",
            "telephone_number": "708-226-9055",
            "fax_number": "708-226-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREY",
        "first_name": "JUDITH",
        "middle_name": "ANNE",
        "credential": "RN,BSN,CWOCN,APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-03",
        "last_updated": "2009-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "IL",
            "license": "209.002068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041204911",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.