Active NPI
Judith L. Hamilton, MSN, FNP
- Family Nurse Practitioner
- Springfield, OR
National Provider Identifier
1336350875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 200350125 FNP-PP
- Practice address
- 344 A St
Springfield Municipal Jail
Springfield, OR 97477-4536 - Phone
- (541) 744-4166
- Fax
- (541) 744-4188
- NPI assigned
- May 25, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 200350125 FNP-PP | OR | Primary |
Addresses
Primary practice location
344 A St
Springfield Municipal Jail
Springfield, OR 97477-4536
Mailing address
26056 Caton LN
Monroe, OR 97456-9452
Phone (541) 847-1149
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040159 | Medicaid | OR | |
| 079043995RN | Other | OR | STATE LICENSE |
| 200350125-FNP-PP | Other | OR | STATE LICENSE |
Other names 1
- Judith Hamilton
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
- Certified Nurse Midwife, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200350125 FNP-PP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Firstcare Medical Foundation | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Samaritan Medical Clinics
- Family Medicine Physician
- Albany, OR
- NPI 1740216498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1336350875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26056 CATON LN",
"city": "MONROE",
"state": "OR",
"postal_code": "974569452",
"telephone_number": "541-847-1149",
"fax_number": "541-847-1149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "344 A ST",
"address_2": "SPRINGFIELD MUNICIPAL JAIL",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974774536",
"telephone_number": "541-744-4166",
"fax_number": "541-744-4188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "JUDITH",
"middle_name": "L.",
"credential": "MSN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-25",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "200350125 FNP-PP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "040159",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "079043995RN",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "200350125-FNP-PP",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JUDITH",
"last_name": "HAMILTON",
"credential": "FNP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.