Stephanie L. Judy, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

LG-0000882 Issued in DE

Practice address

111 S 6TH St
Odessa, DE 19730-2077

Phone

(302) 313-1411

Fax

(302) 312-6150

NPI assigned

Sep 10, 2015

Last updated

Aug 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 DE, MD2 enrollments

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 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christiana Care Quality Partners

  dba ChristianaCare GoHealth Urgent Care

  • Urgent Care Clinic/Center
  • Newark, DE
  • NPI 1164061867

  MD

  Medicare reassignment NPD
• Creative Medical Consulting, LLC

  • Family Nurse Practitioner
  • Middletown, DE
  • NPI 1578051819
  Medicare reassignment NPD
• Christiana Care Quality Partners

  dba ChristianaCare GoHealth Urgent Care

  • Urgent Care Clinic/Center
  • Wilmington, DE
  • NPI 1881367332
  NPD (past)

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1699143404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 WOOD DUCK CT",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197096114",
            "telephone_number": "302-382-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 6TH ST",
            "city": "ODESSA",
            "state": "DE",
            "postal_code": "197302077",
            "telephone_number": "302-313-1411",
            "fax_number": "302-312-6150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Sandhill Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "DE",
            "postal_code": "197095805",
            "country_code": "US",
            "telephone_number": "302-378-4779",
            "fax_number": "302-378-4789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUDY",
        "first_name": "STEPHANIE",
        "middle_name": "L.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0000882",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Hinson
• Kathleen Hoffman
• Katherine Elizabeth Johns
• Courtney Jones
• Susan Alexander Jones
• Emma Julian
• Susan Kane
• Brenda Kramer, RN
• Jenna Kyko, CCC-SLP
• Kelsey Larrimore

• Family Nurse Practitioner in Odessa, DE
• Providers in Odessa, DE by specialty
• Family Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.