Judy Norman Wilburn, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F330964-1 Issued in NY

Practice address

Rome Cboc of the Syracuse VA
125 Brookley Ave.
Rome, NY 13441

Phone

(315) 334-7100

Fax

(315) 334-7171

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396769048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 N MADISON ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402707",
            "telephone_number": "315-334-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROME CBOC OF THE SYRACUSE VA",
            "address_2": "125 BROOKLEY AVE.",
            "city": "ROME",
            "state": "NY",
            "postal_code": "13441",
            "telephone_number": "315-334-7100",
            "fax_number": "315-334-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBURN",
        "first_name": "JUDY",
        "middle_name": "NORMAN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F330964-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Wertz, LPN
• Jennifer Westbrook
• Christine Ann Wheeler, RN
• Samantha White
• Mitchell William Wilbert, DDS
• Mark E Williams, M.D.
• Melissa J Williams, MSPT
• Rich Williams II, RN
• Rosemary Al Williams, LPN
• Jennifer Eunice Winchell, RN

• Nurse Practitioner in Rome, NY
• Providers in Rome, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.