Elizabeth Mullanphy Judd, CPNP, PMHS

Primary specialty

Child & Family Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0810X

License

1999140595 Issued in MO

Practice address

2025 S Brentwood Blvd
Saint Louis, MO 63144-1833

Phone

(314) 200-5778

NPI assigned

May 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elizabethjudd.elizabethjudd@151789.advancedmd-direct.com

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.

• Psychological & Behavioral Consultants, LLC

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1811915713

  MO

  Medicare reassignment NPD
• Elizabeth Judd LLC

  • Clinic/Center
  • Brentwood, MO
  • NPI 1831858562
  NPD Authorized official
• Washington University

  • Multi-Specialty Clinic/Center
  • Saint Louis, MO
  • NPI 1003856592
  Medicare reassignment

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1629021597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 S BRENTWOOD BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631441833",
            "telephone_number": "314-200-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 S BRENTWOOD BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631441833",
            "telephone_number": "314-200-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDD",
        "first_name": "ELIZABETH",
        "middle_name": "MULLANPHY",
        "name_prefix": "Ms.",
        "credential": "CPNP, PMHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "1999140595",
            "primary": false
        },
        {
            "code": "364SP0810X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family",
            "state": "MO",
            "license": "1999140595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Carlos Escandon, Inc.
• Christine Juang, PHD
• Paul Juang, PHARM.D.
• Jubilee Community Church
• Brian Judd, DDS
• Jeffrey B Judd, M.D.
• Jennifer Stephan Judd, CRNA
• John Patrick Judd, MD
• Nancy P Judd, MD
• Ryan Thomas Judd, MD

• Clinical Nurse Specialist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Nurse Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.