Judy Mae Mahaffey I

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

384248 Issued in CA

Practice address

2379 Sunnyside Ave
Clovis, CA 93611-4052

Phone

(559) 292-1403

NPI assigned

Dec 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1578625943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2379 SUNNYSIDE AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936114052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2379 SUNNYSIDE AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936114052",
            "telephone_number": "559-292-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAFFEY",
        "first_name": "JUDY",
        "middle_name": "MAE",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "384248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EPS011820",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "394248",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RVN000360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Felix Madrigal
• Michael Joaquin Madrigal, D.D.S.
• Victor Chiedozie Maduchi
• Melissa Maduell, PA-C
• Elizel Ken Magliba
• Steven Mahan
• Golzaar Mahdavi
• Mantej Mahil, PHARMD
• Roudabak Mahjoob, RD
• Jessica Nichols Main, PHARMD

• Case Management Registered Nurse in Clovis, CA
• Providers in Clovis, CA by specialty
• Case Management Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.