Individual provider Active NPI

Judene W Wint-Martin, DNP, CRNP

  • Pediatric Nurse Practitioner
  • West Chester, PA
National Provider Identifier
1831393511
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
SPO25769 Issued in PA
Practice address
975 Westtown Rd
West Chester, PA 19382-5700
Phone
(610) 399-7831
Fax
(610) 399-7810
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 381602 NY
Pediatric Nurse Practitioner 363LP0200X 1-154580 AL
Pediatric Nurse Practitioner 363LP0200X LJ-0010412 DE
Pediatric Nurse Practitioner 363LP0200X SPO25769 PA Primary

Addresses

Primary practice location

975 Westtown Rd
West Chester, PA 19382-5700

Mailing address

221 Mill Walk CT
Madison, AL 35758-1565
Phone (646) 331-5771

Other identifiers 1

IdentifierTypeStateIssuer
381602OtherNYN.P. LICENSE

Other names 1

  • Judene W Wint Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Madison
Direct Messaging Address judene.wint-martin@westtown.edu Health Information Exchange (HIE)

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
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
LJ-0010412DEMDPediatric Nurse Practitioner
381602NYMDPediatric Nurse Practitioner
SPO25769PAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Westtown School Pediatrics CurrentSince Sep 5, 2023 Accepting new patients
Healthy Steps Pediatrics LLC Past Accepting new patients
Southern Tier Pediatrics PC PastSince Mar 9, 2013 Accepting new patients

Locations

975 Westtown Rd
West Chester, PA 19382
Phone (202) 412-1303

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1831393511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 MILL WALK CT",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357581565",
            "telephone_number": "646-331-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 WESTTOWN RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193825700",
            "telephone_number": "610-399-7831",
            "fax_number": "610-399-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINT-MARTIN",
        "first_name": "JUDENE",
        "middle_name": "W",
        "credential": "DNP, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "381602",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-154580",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "DE",
            "license": "LJ-0010412",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SPO25769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N.P. LICENSE",
            "identifier": "381602",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Madison",
            "affiliation": "N",
            "address_1": "101 Westover Cir",
            "city": "Madison",
            "state": "AL",
            "country_code": "US",
            "postal_code": "357584909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "judene.wint-martin@westtown.edu",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "975 Westtown Rd",
            "city": "West Chester",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193825700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JUDENE",
            "last_name": "WINT",
            "middle_name": "W",
            "credential": "RN, NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.