Individual provider Active NPI

Lawanda Denise Judge, DNP, APRN, MSN, FNP-

  • Primary Care Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1932696861
Registry record updated Jan 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
5010571 Issued in NC
Practice address
2727 Shamrock Dr
Charlotte, NC 28205-2215
Phone
(757) 581-9687
NPI assigned
Apr 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 5010571 NC Primary

Addresses

Primary practice location

2727 Shamrock Dr
Charlotte, NC 28205-2215

Mailing address

8473 Carolina Lily LN
Charlotte, NC 28262-6471
Phone (757) 581-9687

Other names 1

  • Lawanda Denise Buckram Timmson Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lbuckram@vitaehs.com Direct
CONNECT URL vitaehs.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220214000948 NC Practitioner - Nurse Practitioner 9133512205 Reassigns benefits to 3 organizations
I20230426000511 VA Practitioner - Nurse Practitioner 9133512205 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince Sep 6, 2022 Accepting new patients
Vitae Health Medical North Carolina, PLLC CurrentSince May 1, 2022 Accepting new patients
SE Virginia Value Based Care, LLC CurrentSince Aug 1, 2023 Accepting new patients
Mid-Atlantic Post Acute & Long Term Care PLLC Family Medicine CurrentSince Mar 6, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Mar 30, 2022 Accepting new patients
Theoria Medical Family Medicine Past Accepting new patients
Alma Wellness Group PastSince May 18, 2025 Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

2727 Shamrock Dr
Charlotte, NC 28205
Phone (704) 519-2400

550 Glenwood Dr
Mooresville, NC 28115
Phone (704) 644-4797

430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

6160 Kempsville Cir
Ste 325A
Norfolk, VA 23502
Phone (757) 354-2885

Interoperability endpoints

  • Direct secure messaging: lawanda.judge@237407481626628.direct.elationemr.com

Organizations & group practices 7

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": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737244800000",
    "number": "1932696861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8473 CAROLINA LILY LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282626471",
            "telephone_number": "757-581-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 SHAMROCK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282052215",
            "telephone_number": "757-581-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDGE",
        "first_name": "LAWANDA",
        "middle_name": "DENISE",
        "credential": "DNP, APRN, MSN, FNP-",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2025-01-19",
        "certification_date": "2025-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5010571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lbuckram@vitaehs.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2727 Shamrock Dr",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282052215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "vitaehs.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8473 Carolina Lily Ln",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LAWANDA",
            "last_name": "BUCKRAM TIMMSON",
            "middle_name": "DENISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.