Judith Anne Storm

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

324281 Issued in NY

Practice address

11 Carol Rd
Bethpage, NY 11714-4203

Phone

(516) 216-3856

NPI assigned

Jun 2, 2025

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

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": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1669365334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CAROL RD",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117144203",
            "telephone_number": "516-216-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CAROL RD",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117144203",
            "telephone_number": "516-216-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORM",
        "first_name": "JUDITH",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "324281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stella Xanthoudakis Psychotherapy, Mental Health Counseling PLLC
• Steven Cagen, M.D., P.C.
• Steven Ender DO PLLC
• Daniel Stok, RN
• Yelena Matlin Stone, MD
• Wynter Abigail Storm
• Phillip Sturman, PHD
• Melanie Suhr, M.S.CCC-SLP
• Tricia Sullivan, NP
• Surgishop LLC

• Licensed Practical Nurse in Bethpage, NY
• Providers in Bethpage, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.