Individual provider Active NPI

Meaghan Judge, NP

  • Family Nurse Practitioner
  • Seminole, FL
National Provider Identifier
1346702800
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11007386 Issued in FL
Practice address
9555 Seminole Blvd Ste 104
Seminole, FL 33772-2522
Phone
(877) 301-3441
NPI assigned
Apr 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F343486 NY
Family Nurse Practitioner 363LF0000X APRN11007386 FL Primary

Addresses

Primary practice location

9555 Seminole Blvd Ste 104
Seminole, FL 33772-2522

Mailing address

4625 E Bay Dr
Clearwater, FL 33764-5738
Phone (718) 323-3773

Other practice location 1

4625 E Bay Dr Ste 305
Clearwater, FL 33764-5747
Phone (727) 953-3248

Other practice location 2

9407 156th Ave Ste 200
Howard Beach, NY 11414
Phone (718) 323-3773

Other identifiers 1

IdentifierTypeStateIssuer
1227384OtherLOGISTICS HEALTH INCORPORATED

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11007386FLMDFamily Nurse Practitioner
F343486NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Expert Medical Services LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1346702800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 E BAY DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337645738",
            "telephone_number": "718-323-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 SEMINOLE BLVD STE 104",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337722522",
            "telephone_number": "877-301-3441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4625 E Bay Dr Ste 305",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337645747",
            "country_code": "US",
            "telephone_number": "727-953-3248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9407 156th Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Howard Beach",
            "state": "NY",
            "postal_code": "11414",
            "country_code": "US",
            "telephone_number": "718-323-3773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUDGE",
        "first_name": "MEAGHAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F343486",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOGISTICS HEALTH INCORPORATED",
            "identifier": "1227384",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.

Verify at the official NPI Registry.