Active NPI
Judith Munson Doell, CRNP
- Family Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1427295765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP008574
- Practice address
- 34TH Street and Civic Center Boulevard
Childrens Hospital of Philadelphia; Wood Center 4TH Flo
Philadelphia, PA 19104 - Phone
- (267) 426-5757
- NPI assigned
- Jan 8, 2009
- Last updated
- Jan 8, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP008433 | PA | |
| Family Nurse Practitioner | 363LF0000X | SP008574 | PA | Primary |
Addresses
Primary practice location
34TH Street and Civic Center Boulevard
Childrens Hospital of Philadelphia; Wood Center 4TH Flo
Philadelphia, PA 19104
Mailing address
3121 Muirfield Rd
Center Valley, PA 18034-8946
Phone (610) 665-4330
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP008433 | PA | MD | Nurse Practitioner |
| SP008574 | PA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231372800000",
"number": "1427295765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3121 MUIRFIELD RD",
"city": "CENTER VALLEY",
"state": "PA",
"postal_code": "180348946",
"telephone_number": "610-665-4330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34TH STREET AND CIVIC CENTER BOULEVARD",
"address_2": "CHILDRENS HOSPITAL OF PHILADELPHIA; WOOD CENTER 4TH FLO",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "267-426-5757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOELL",
"first_name": "JUDITH",
"middle_name": "MUNSON",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-08",
"last_updated": "2009-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP008433",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP008574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.