Judith Mae Moorehead

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

15375 SE 156TH Place Rd
Weirsdale, FL 32195-2218

Phone

(352) 821-4082

NPI assigned

Apr 28, 2008

Last updated

Apr 28, 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1811162183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15375 SE 156TH PLACE RD",
            "city": "WEIRSDALE",
            "state": "FL",
            "postal_code": "321952218",
            "telephone_number": "352-821-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15375 SE 156TH PLACE RD",
            "city": "WEIRSDALE",
            "state": "FL",
            "postal_code": "321952218",
            "telephone_number": "352-821-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOREHEAD",
        "first_name": "JUDITH",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230291800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miguel Alberto Cubano, M.D.
• Gandih Gheir Ibrahim, MD
• Shubham Suresh Jaiswal, MD
• Yannick Kofi Ralph Jones, MD
• Kyaw Zin Minn, MD
• William Franklin Moorehead
• Amanda Jean Purdum, LMT
• Essam Saad, MD
• Penny Ann Testerman, LMT
• Weirsdale Family Health Center Inc

• Contractor in Weirsdale, FL
• Providers in Weirsdale, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.