Individual provider Active NPI

Judith Ann Panfil, CRNFA

  • Registered Nurse First Assistant
  • Lake Park, FL
National Provider Identifier
1841360070
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
RN1124612 Issued in FL
Practice address
8648 Uranus Ter
Lake Park, FL 33403-1661
Phone
(561) 389-7568
Fax
(561) 627-6057
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X RN1124612 FL Primary

Addresses

Primary practice location

8648 Uranus Ter
Lake Park, FL 33403-1661

Mailing address

8648 Uranus Ter
Lake Park, FL 33403-1661
Phone (561) 389-7568

Other identifiers 1

IdentifierTypeStateIssuer
Y6408OtherFLBLUE CROSSBLUESHIELD

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN1124612FLMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Judith Panfil Rnfa Inc Registered Nurse First Assistant Past Accepting new patients

Organizations & group practices 1

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1841360070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8648 URANUS TER",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334031661",
            "telephone_number": "561-389-7568",
            "fax_number": "561-627-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8648 URANUS TER",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334031661",
            "telephone_number": "561-389-7568",
            "fax_number": "561-627-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANFIL",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CRNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "RN1124612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSSBLUESHIELD",
            "identifier": "Y6408",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.