Active NPI
Judith Marie Adams, N.P.-C.
- Primary Care Nurse Practitioner
- Southfield, MI
National Provider Identifier
1679625321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 4704200168
- Practice address
- 20755 Greenfield Rd
Suite #203
Southfield, MI 48075-5403 - Phone
- (248) 395-2206
- Fax
- (248) 395-0456
- NPI assigned
- Jan 16, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704200168 | MI | |
| Primary Care Nurse Practitioner | 363LP2300X | 4704200168 | MI | Primary |
Addresses
Primary practice location
20755 Greenfield Rd
Suite #203
Southfield, MI 48075-5403
Mailing address
20755 Greenfield Rd
Suite #203
Southfield, MI 48075-5403
Phone (248) 395-2206
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4704200168 | Other | MI | NP LICENSE NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704200168 | MI | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1679625321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20755 GREENFIELD RD",
"address_2": "SUITE #203",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480755403",
"telephone_number": "248-395-2206",
"fax_number": "248-395-0456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20755 GREENFIELD RD",
"address_2": "SUITE #203",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480755403",
"telephone_number": "248-395-2206",
"fax_number": "248-395-0456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "JUDITH",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "N.P.-C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704200168",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MI",
"license": "4704200168",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP LICENSE NUMBER",
"identifier": "4704200168",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.