Individual provider Active NPI

Judith Healey, R.N.

  • Registered Nurse
  • Ithaca, NY
National Provider Identifier
1366600801
Registry record updated May 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
384216 Issued in NY
Practice address
229 Valley Rd
Ithaca, NY 14850-6152
Phone
(607) 277-2133
Fax
(607) 277-2133
NPI assigned
May 31, 2008
Last updated
May 31, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 384216 NY Primary

Addresses

Primary practice location

229 Valley Rd
Ithaca, NY 14850-6152

Mailing address

229 Valley Rd
Ithaca, NY 14850-6152
Phone (607) 277-2133

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
384216NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1212192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212192000000",
    "number": "1366600801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 VALLEY RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148506152",
            "telephone_number": "607-277-2133",
            "fax_number": "607-277-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 VALLEY RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148506152",
            "telephone_number": "607-277-2133",
            "fax_number": "607-277-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALEY",
        "first_name": "JUDITH",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-31",
        "last_updated": "2008-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "384216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2008; 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.