Individual provider Active NPI

Judith Noel, RN, MS FNP

  • Primary Care Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1518239755
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP7713 Issued in AZ
Practice address
1840 E University Dr
Mesa, AZ 85203-8237
Phone
(917) 445-0025
NPI assigned
Feb 3, 2012
Last updated
May 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F3318161 NY
Primary Care Nurse Practitioner 363LP2300X AP7713 AZ Primary

Addresses

Primary practice location

1840 E University Dr
Mesa, AZ 85203-8237

Mailing address

40388 W Hayden Dr
Maricopa, AZ 85138-6528
Phone (917) 445-0025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250916000266 NY Order and Referring Only - Nurse Practitioner 0840594958

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
F3318161NYMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1518239755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40388 W HAYDEN DR",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851386528",
            "telephone_number": "917-445-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 E UNIVERSITY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038237",
            "telephone_number": "917-445-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOEL",
        "first_name": "JUDITH",
        "name_prefix": "Ms.",
        "credential": "RN, MS FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-03",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F3318161",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "AP7713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.