Active NPI
Judith Duncan, BSW, MA
- Independent Duty Corpsman
- Detroit, MI
National Provider Identifier
1386802882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Duty Corpsman
- License
- 6401006796
- Practice address
- 340 W Grand Blvd
Detroit, MI 48216-1423 - Phone
- (313) 422-3216
- NPI assigned
- May 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | 6401006796 | MI | Primary |
Addresses
Primary practice location
340 W Grand Blvd
Detroit, MI 48216-1423
Mailing address
340 W Grand Blvd
Detroit, MI 48216-1423
Phone (313) 422-3216
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401006796 | MI | MD | Independent Duty Corpsman |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218672000000",
"number": "1386802882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482161423",
"telephone_number": "313-422-3216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482161423",
"telephone_number": "313-422-3216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "JUDITH",
"credential": "BSW, MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-30",
"last_updated": "2008-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "1710I1002X",
"taxonomy_group": "",
"desc": "Military Health Care Provider, Independent Duty Corpsman",
"state": "MI",
"license": "6401006796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.