Judith Ntaba, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

117374-30 Issued in WI

Practice address

5211 N Mohawk Ave
Glendale, WI 53217-5022

Phone

(414) 906-0427

NPI assigned

Feb 16, 2010

Last updated

Feb 16, 2010By 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

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": "1266278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1861714990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 N MOHAWK AVE",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532175022",
            "telephone_number": "414-906-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 N MOHAWK AVE",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532175022",
            "telephone_number": "414-906-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NTABA",
        "first_name": "JUDITH",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "117374-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Hearing, LLC
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• North Shore Psychotherapy Associates IV (Nspa)
• Northeast OBGYN SC
• Paul E Norton, MD
• Mervin K Ntaba
• Nuglen, LLC (Seven Oaks)
• Rebecca O'Connor
• John M O'Donnell, PH.D.
• Jocelyn M Ocampo, SLPA

• Registered Nurse in Glendale, WI
• Providers in Glendale, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.