Individual provider Active NPI

Judy Brusby, APRN BC

  • Psychiatric/Mental Health Registered Nurse
  • West Hartford, CT
National Provider Identifier
1902195340
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
001940 Issued in CT
Practice address
70 Newport Ave
West Hartford, CT 06107-3030
Phone
(860) 313-1372
NPI assigned
Apr 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Continuing Education/Staff Development Registered Nurse 163WC1600X 001940 CT
Psychiatric/Mental Health Registered Nurse 163WP0808X 001940 CT Primary

Addresses

Primary practice location

70 Newport Ave
West Hartford, CT 06107-3030

Mailing address

70 Newport Ave
West Hartford, CT 06107-3030
Phone (860) 313-1372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Feb 20, 2016 through Feb 20, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
001940CTMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302048000000",
    "number": "1902195340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 NEWPORT AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061073030",
            "telephone_number": "860-313-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 NEWPORT AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061073030",
            "telephone_number": "860-313-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSBY",
        "first_name": "JUDY",
        "name_prefix": "Ms.",
        "credential": "APRN BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "CT",
            "license": "001940",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CT",
            "license": "001940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.