Active NPI
Judy A Ferris, FNP
- Family Nurse Practitioner
- Lenoir, NC
National Provider Identifier
1679600019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201182
- Practice address
- 2345 Morganton Blvd SW
Lenoir, NC 28645-4973 - Phone
- (828) 426-8400
- Fax
- (828) 426-8450
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201182 | NC | Primary |
Addresses
Primary practice location
2345 Morganton Blvd SW
Lenoir, NC 28645-4973
Mailing address
2345 Morganton Blvd SW
Lenoir, NC 28645-4973
Phone (828) 426-8429
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 247439-22 | Other | AMERICAN NURSES CREDENTIA | |
| 164182 | Other | NC | NC RN LICENSE NUMBER |
| 201182 | Other | NC | NC MEDICAL BOARD CERT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201182 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BRMG-PC | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356566400000",
"number": "1679600019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2345 MORGANTON BLVD SW",
"city": "LENOIR",
"state": "NC",
"postal_code": "286454973",
"telephone_number": "828-426-8429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 MORGANTON BLVD SW",
"city": "LENOIR",
"state": "NC",
"postal_code": "286454973",
"telephone_number": "828-426-8400",
"fax_number": "828-426-8450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRIS",
"first_name": "JUDY",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2012-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "201182",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN NURSES CREDENTIA",
"identifier": "247439-22",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC RN LICENSE NUMBER",
"identifier": "164182",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC MEDICAL BOARD CERT",
"identifier": "201182",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lenoir, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.