Judith Joseph Chedville, RN, ACNS-BC

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

775817 Issued in TX

Practice address

3828 S 1St St
Austin, TX 78704-7048

Phone

(512) 443-1311

Fax

(512) 406-6266

NPI assigned

Aug 16, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

Practice roles

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.

• Mark Malone MD PA

  • Pain Medicine (Anesthesiology) Physician
  • Dripping Springs, TX
  • NPI 1285425363
  NPD (past)
• Mark Malone MD PA

  • Pain Medicine (Anesthesiology) Physician
  • Lakeway, TX
  • NPI 1427884121
  NPD (past)
• Seton Hospitalist Service

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1013293679
  NPD (past)

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1336497650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 SETON CENTER PKWY",
            "address_2": "SUITE 215",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595290",
            "fax_number": "512-406-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 S 1ST ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047048",
            "telephone_number": "512-443-1311",
            "fax_number": "512-406-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEDVILLE",
        "first_name": "JUDITH",
        "middle_name": "JOSEPH",
        "credential": "RN, ACNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "TX",
            "license": "775817",
            "primary": true
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "775817",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321951102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321951101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garey Chayra, D.D.S.
• Adi Chazoom, MS, RDN, LDN
• Chelsey Denae Cheatham, PA-C
• Jennifer Ann Cheatham, LPC-A
• Jessica Ann Cheatham
• Zara Cheema
• Wendy Lee Chelette, OTR
• Chelsea Nicholle Chelew, LMFT
• John D. Chelkowski, DDS
• Matthew George Chellew, MD

• Clinical Nurse Specialist in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.