Individual provider Active NPI

Judith Anderson-Bruner, ARNP

  • Family Nurse Practitioner
  • North Liberty, IA
National Provider Identifier
1750331039
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A052736 Issued in IA
Practice address
720 Pacha Pkwy
Suite 1
North Liberty, IA 52317-4797
Phone
(319) 384-8822
Fax
(319) 339-1449
NPI assigned
May 10, 2006
Last updated
Jan 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A052736 IA Primary

Addresses

Primary practice location

720 Pacha Pkwy
Suite 1
North Liberty, IA 52317-4797

Mailing address

720 Pacha Pkwy
Suite 1
North Liberty, IA 52317-4797
Phone (319) 384-8822

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

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1750331039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 PACHA PKWY",
            "address_2": "SUITE 1",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174797",
            "telephone_number": "319-384-8822",
            "fax_number": "319-339-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 PACHA PKWY",
            "address_2": "SUITE 1",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174797",
            "telephone_number": "319-384-8822",
            "fax_number": "319-339-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON-BRUNER",
        "first_name": "JUDITH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A052736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Liberty, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.