Judith Hilary Weis, MA, RN, CNS

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

RO741961 Issued in MN

Practice address

27 1St St SW
Crosby, MN 56441-1417

Phone

(218) 545-1154

Fax

(218) 545-1155

NPI assigned

Jul 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Judith Hilary Davis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Arts, Registered Nurse

State licenses

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420761600000",
    "number": "1548289259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102",
            "address_2": "27 SW FIRST STREET",
            "city": "CROSBY",
            "state": "MN",
            "postal_code": "564410102",
            "telephone_number": "218-545-1154",
            "fax_number": "218-545-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 1ST ST SW",
            "city": "CROSBY",
            "state": "MN",
            "postal_code": "564411417",
            "telephone_number": "218-545-1154",
            "fax_number": "218-545-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIS",
        "first_name": "JUDITH",
        "middle_name": "HILARY",
        "credential": "MA, RN, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2015-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MN",
            "license": "RO741961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "531227200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "DAVIS",
            "middle_name": "HILARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Sue Stanfield, PA-C
• Jeffrey A Steuck, CRNA
• James J Stokman, MD
• Peter John Stokman, MD
• Amber Kay Taylor, NP-C
• Jenna Wentzlaff, PHARMD
• Richard L West, O.D.
• Robert Kenneth Westin, MD
• Matthew T Wiedell, O.D.
• Michael Kendon Wiedell, MD

• Psychiatric/Mental Health Clinical Nurse Specialist in Crosby, MN
• Providers in Crosby, MN by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.