Judith Lynn Kalley

Primary specialty

SpecialistTaxonomy code 174400000X

License

2428 Issued in NM

Practice address

Z H S 4a
Zuni, NM 87327-0432

Phone

(417) 231-5780

NPI assigned

Feb 19, 2008

Last updated

Feb 19, 2008By 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 3

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": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1730357252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432",
            "city": "ZUNI",
            "state": "NM",
            "postal_code": "873270432",
            "telephone_number": "417-231-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "Z H S 4A",
            "city": "ZUNI",
            "state": "NM",
            "postal_code": "873270432",
            "telephone_number": "417-231-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLEY",
        "first_name": "JUDITH",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "2428",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharol Hopwood, DIETITIAN
• Megan Horeis, PHYSICAL THERAPIST
• Michael Jaffe, RPH
• Andrew Jensen
• Paula Lynn Johns, O.D.
• Karthik Kavasseri, M.D.
• David Kessler, MD
• Jason Kurland, M.D.
• Poonam Mahajan
• Lynette Martinez, LADAC

• Specialist in Zuni, NM
• Providers in Zuni, NM by specialty
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.