Active NPI
Kelsey Judy
- Registered Nurse
- Princeton, WV
National Provider Identifier
1548183668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 112019
- Practice address
- 600 Trent St
Princeton, WV 24740 - Phone
- (304) 425-7111
- NPI assigned
- Aug 4, 2026
- 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 | 112019 | WV | Primary |
Addresses
Primary practice location
600 Trent St
Princeton, WV 24740
Mailing address
955 Cabendish Rd
Rainelle, WV 25962
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1548183668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 CABENDISH RD",
"city": "RAINELLE",
"state": "WV",
"postal_code": "25962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 TRENT ST",
"city": "PRINCETON",
"state": "WV",
"postal_code": "24740",
"telephone_number": "304-425-7111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDY",
"first_name": "KELSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-04",
"last_updated": "2026-08-04",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WV",
"license": "112019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Princeton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.