Active NPI
Judith McLeod, NP
- Nurse Practitioner
- Mission Viejo, CA
National Provider Identifier
1518034362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP4265
- Practice address
- 26441 Fresno Dr
Mission Viejo, CA 92691-1512 - Phone
- (949) 306-5462
- NPI assigned
- Nov 29, 2006
- Last updated
- Dec 18, 2023
- 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 | NP4265 | CA | Primary |
| Lactation Consultant (Registered Nurse) | 163WL0100X | 255760 | CA |
Addresses
Primary practice location
26441 Fresno Dr
Mission Viejo, CA 92691-1512
Mailing address
26441 Fresno Dr Ste 200
Mission Viejo, CA 92691-1512
Phone (949) 306-5462
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
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 255760 | CA | MD | Lactation Consultant (Registered Nurse) |
| 4265 | CA | MD | Acupuncturist |
| NP4265 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Babyliveadvice,Inc | Nurse Practitioner | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Nurse Practitioner
- Sherman Oaks, CA
- NPI 1568186252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1518034362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26441 FRESNO DR STE 200",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926911512",
"telephone_number": "949-306-5462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26441 FRESNO DR",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926911512",
"telephone_number": "949-306-5462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEOD",
"first_name": "JUDITH",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP4265",
"primary": true
},
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "CA",
"license": "255760",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.