Active NPI
Anne Judge, FNP-BC
- Nurse Practitioner
- Paoli, PA
National Provider Identifier
1407279391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP013503
- Practice address
- 255 W Lancaster Ave
Paoli, PA 19301-1763 - Phone
- (484) 565-1000
- NPI assigned
- Jan 28, 2014
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP013503 | PA | Primary |
Addresses
Primary practice location
255 W Lancaster Ave
Paoli, PA 19301-1763
Mailing address
5401 Vicaris St
Philadelphia, PA 19128-2823
Phone (215) 687-7824
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP013503 | PA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390867200000",
"number": "1407279391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 VICARIS ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191282823",
"telephone_number": "215-687-7824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 W LANCASTER AVE",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011763",
"telephone_number": "484-565-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDGE",
"first_name": "ANNE",
"name_prefix": "Ms.",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-28",
"last_updated": "2014-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP013503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.