Active NPI
Judith D Brock, NURSE
- Registered Nurse
- Grand Junction, CO
National Provider Identifier
1497037972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 67947
- Practice address
- 510 29 1/2 Rd
Grand Junction, CO 81504-5383 - Phone
- (970) 248-6927
- NPI assigned
- Sep 12, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 67947 | CO | Primary |
Addresses
Primary practice location
510 29 1/2 Rd
Grand Junction, CO 81504-5383
Mailing address
729 Shore Cir Unit a
Grand Junction, CO 81505-8712
Phone (970) 261-5702
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 |
|---|---|---|---|
| 67947 | CO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315785600000",
"number": "1497037972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "729 SHORE CIR UNIT A",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815058712",
"telephone_number": "970-261-5702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 29 1/2 RD",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815045383",
"telephone_number": "970-248-6927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCK",
"first_name": "JUDITH",
"middle_name": "D",
"credential": "NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-12",
"last_updated": "2011-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "67947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.