Judith I Udabor, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP118123 Issued in TX

Practice address

2801 Osler Dr Ste 120
Grand Prairie, TX 75051-1059

Phone

(214) 677-0208

Fax

(214) 677-0230

NPI assigned

Sep 14, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Trumed Family Clinic

  • Primary Care Nurse Practitioner
  • Grand Prairie, TX
  • NPI 1235445123

  Family

  Medicare reassignment NPD Authorized official
• Calab Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Arlington, TX
  • NPI 1548310253
  NPD (past)
• Calab, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Arlington, TX
  • NPI 1508916297
  NPD (past)
• Harold Wagner DO PA

  • Geriatric Medicine (Family Medicine) Physician
  • Dallas, TX
  • NPI 1255438701
  NPD (past)
• Indelible Health & Wellness LLC

  • Family Medicine Physician
  • Grand Prairie, TX
  • NPI 1245569946
  NPD (past)

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1598098196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 294822",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750294822",
            "telephone_number": "214-677-0208",
            "fax_number": "214-677-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 OSLER DR STE 120",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511059",
            "telephone_number": "214-677-0208",
            "fax_number": "214-677-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDABOR",
        "first_name": "JUDITH",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "723945",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP118123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chinyere Augusta Turner
• Joli Ann Twa, OTR/L
• TX Otp, LLC
• Risa D Tyo, PHARMD
• Typo Medical Supplies
• Ufoma Omohefe Udezi
• Ultimate Hydration and Wellness Services, LLC
• Denise Ungerer Sedlacek
• Unilov Allied LLC
• United Comfort Care, Inc

• Family Nurse Practitioner in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.