Judith A Sheldon, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209010258 Issued in IL

Practice address

4300 Commerce CT Ste 250
Lisle, IL 60532-3674

Phone

(630) 730-5506

Fax

(630) 305-8549

NPI assigned

Jun 16, 2013

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 names 1

• Mrs. Judith A Hamilton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 5, 2022 through Nov 5, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1371340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1346689072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 COMMERCE CT STE 250",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323674",
            "telephone_number": "630-730-5506",
            "fax_number": "603-305-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 COMMERCE CT STE 250",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323674",
            "telephone_number": "630-730-5506",
            "fax_number": "630-305-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELDON",
        "first_name": "JUDITH",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-16",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209010258",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041270823",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "HAMILTON",
            "middle_name": "A",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sonia Sethi Kohli, M.S.,CCC-SLP
• Anand P Shah, M.D.
• Nasir Shahab, MD
• Charity Faith Shaw Moyado, LCSW
• Melissa M Sheehy, RD
• Ted C Shieh, M.D.
• Thomas A Shin, MD
• Sara Margaret Shinault, WHNP
• Saud Siddiqui, MD
• Silly Goose Speech Therapy, PLLC

• Family Nurse Practitioner in Lisle, IL
• Providers in Lisle, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.