Judith E Sepulveda, MSN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3003029 Issued in KY

Practice address

2355 Poplar Level Road
Suite G1-11
Louisville, KY 40217-1367

Phone

(502) 636-8121

Fax

(502) 636-8128

NPI assigned

Sep 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Norton Hospitals Inc

  dba Norton Cancer Institute

  • Multi-Specialty Clinic/Center
  • Louisville, KY
  • NPI 1073568879

  IN, Nurse Practitioner

  Medicare reassignment NPD
• Norton Hospitals, Inc

  dba Norton Pain Management Associates

  • Pain Medicine Physician
  • Louisville, KY
  • NPI 1548152242
  NPD
• Eugene C Fletcher MD LLC

  • Pulmonary Disease Physician
  • New Albany, IN
  • NPI 1598986713
  NPD (past)
• Pain Management Center of Southern Indiana

  • Pain Medicine Physician
  • New Albany, IN
  • NPI 1720222862
  NPD (past)
• Pain Management Center of Southern Indiana, Inc.

  • Multi-Specialty Clinic/Center
  • Bloomington, IN
  • NPI 1629063797
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1386746360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 POPLAR LEVEL ROAD",
            "address_2": "SUITE G1-11",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171367",
            "telephone_number": "502-636-8121",
            "fax_number": "502-636-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVEDA",
        "first_name": "JUDITH",
        "middle_name": "E",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28161288A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001781B",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001781A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3029P",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3003029",
            "primary": true
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "KY",
            "license": "1071867",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20057650",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Egambaram Senthilvel, MD
• Anthony Jae Seo
• Jay Seo, DMD
• Albert Seow, M.D.
• Bahram Sepehri, M.D.
• Joel Mario Sequeiros Chirinos, MD
• Ivonne Seran
• Michael J Seraphin, MD
• Caden James Seraphine
• Daniel Winn Serber, PH.D., M.S.

• Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.