Active NPI
Lawanda Denise Judge, DNP, APRN, MSN, FNP-
- Primary Care Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 5010571
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theoria Medical | Current | Accepting new patients | |
| Vitae Health Medical North Carolina, PLLC | Current | Accepting new patients | |
| SE Virginia Value Based Care, LLC | Current | Accepting new patients | |
| Mid-Atlantic Post Acute & Long Term Care PLLC | Family Medicine | Current | Accepting new patients |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Theoria Medical | Family Medicine | Past | Accepting new patients |
| Alma Wellness Group | Past | 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
- 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.
-
- Internal Medicine Physician
- Mooresville, NC
- NPI 1265064414
-
- Geriatric Medicine (Internal Medicine) Physician
- Norfolk, VA
- NPI 1225557556
Family Medicine
-
- Geriatric Medicine (Internal Medicine) Physician
- Norfolk, VA
- NPI 1225720501
-
- Family Nurse Practitioner
- Chesapeake, VA
- NPI 1740071703
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.