Active NPI
Judith Ann Krupala, NURSE PRACTITIONER
- Family Nurse Practitioner
- Cuero, TX
National Provider Identifier
1861595936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP109489
- Practice address
- 1109 E Broadway St
Cuero, TX 77954-2108 - Phone
- (361) 275-2800
- Fax
- (361) 275-8791
- NPI assigned
- Sep 6, 2006
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 245661 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP109489 | TX | Primary |
Addresses
Primary practice location
1109 E Broadway St
Cuero, TX 77954-2108
Mailing address
1109 E Broadway St
Cuero, TX 77954-2108
Phone (361) 275-2925
Other practice location 1
139 W Franklin
Goliad, TX 77963
Phone (361) 645-8235
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 210507402 | Medicaid | TX | |
| 577062YK7Y | Other | TX | MEDICARE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 245661 | TX | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1861595936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 E BROADWAY ST",
"city": "CUERO",
"state": "TX",
"postal_code": "779542108",
"telephone_number": "361-275-2925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 E BROADWAY ST",
"city": "CUERO",
"state": "TX",
"postal_code": "779542108",
"telephone_number": "361-275-2800",
"fax_number": "361-275-8791"
}
],
"practiceLocations": [
{
"address_1": "139 W Franklin",
"address_purpose": "LOCATION",
"city": "Goliad",
"state": "TX",
"postal_code": "77963",
"country_code": "US",
"telephone_number": "361-645-8235",
"fax_number": "361-645-3282",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRUPALA",
"first_name": "JUDITH",
"middle_name": "ANN",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "245661",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP109489",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "210507402",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "577062YK7Y",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cuero, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.