Judith Ann Govatos, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R859815 Issued in MS

Practice address

920 Boone St
Tupelo, MS 38804-5908

Phone

(662) 844-3531

Fax

(662) 844-1757

NPI assigned

Feb 28, 2008

Last updated

Feb 28, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1841469350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W SHORE DR",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388665746",
            "telephone_number": "662-840-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 BOONE ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388045908",
            "telephone_number": "662-844-3531",
            "fax_number": "662-844-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVATOS",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "R859815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Registered Nurse in Mississippi

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