Active NPI
Judith Ann June, LPN
- Licensed Practical Nurse
- Ithaca, NY
National Provider Identifier
1437454618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 2936231
- Practice address
- 138 Cecil Malone Dr
Ithaca, NY 14850-5124 - Phone
- (607) 273-7780
- Fax
- (607) 277-1494
- NPI assigned
- Jan 19, 2011
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 2936231 | NY | Primary |
Addresses
Primary practice location
138 Cecil Malone Dr
Ithaca, NY 14850-5124
Mailing address
138 Cecil Malone Dr
Ithaca, NY 14850-5124
Phone (607) 273-7780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03534558 | Other | NY | PROVIDER ID |
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 |
|---|---|---|---|
| 2936231 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378684800000",
"number": "1437454618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 CECIL MALONE DR",
"city": "ITHACA",
"state": "NY",
"postal_code": "148505124",
"telephone_number": "607-273-7780",
"fax_number": "607-277-1494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 CECIL MALONE DR",
"city": "ITHACA",
"state": "NY",
"postal_code": "148505124",
"telephone_number": "607-273-7780",
"fax_number": "607-277-1494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNE",
"first_name": "JUDITH",
"middle_name": "ANN",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-19",
"last_updated": "2013-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "2936231",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER ID",
"identifier": "03534558",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.