Regina N Judge, CRPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

5004232 Issued in NC

Practice address

451 Ruin Creek Rd
Suite 101
Henderson, NC 27536-2878

Phone

(252) 492-9565

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Regina N Moore Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: regina.moore.p1@direct.ncpedsassociates.nextgenshare.com

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.

• Cornelius F. Cathcart, Pediatrics, PA

  • Pediatrics Physician
  • Louisburg, NC
  • NPI 1407137938
  NPD (past)
• Cornelius F. Cathcart, Pediatrics,PA

  • Pediatrics Physician
  • Henderson, NC
  • NPI 1902991698
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1366519977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 CEDAR LAKE DR APT 3H",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276145916",
            "telephone_number": "410-456-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 RUIN CREEK RD",
            "address_2": "SUITE 101",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362878",
            "telephone_number": "252-492-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDGE",
        "first_name": "REGINA",
        "middle_name": "N",
        "credential": "CRPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5004232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "MOORE",
            "middle_name": "N",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Arlita Jones, LPN
• Harvey Michael Jones, M.D.
• Kimberly Simpson Jones, PHARMD
• Talia Jones, LCSW-A
• Wendy Jordan, LCSWA
• Tammy S Juntunen, M.A., LPA
• Jyotimallika, D.M.D., P.L.L.C.
• Nirmala Purushotham Kamath, RPH
• Snigdha Kanakamedala, MD
• Hannah Kanthak, OTR/L

• Pediatric Nurse Practitioner in Henderson, NC
• Providers in Henderson, NC by specialty
• Pediatric Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.