Individual provider Active NPI

Judith Sharon Bessoff, ANP-C

  • Adult Health Nurse Practitioner
  • Warwick, RI
National Provider Identifier
1942358106
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NPP30348 Issued in RI
Practice address
475 Kilvert St
Warwick, RI 02886-1379
Phone
(401) 714-6094
NPI assigned
Jan 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NPP30348 RI Primary

Addresses

Primary practice location

475 Kilvert St
Warwick, RI 02886-1379

Mailing address

116 Blaisdell Ave
Pawtucket, RI 02860-5751
Phone (401) 465-0346

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

State licenses

LicenseStateTypeSpecialty
NPP30348RIMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1942358106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BLAISDELL AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605751",
            "telephone_number": "401-465-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 KILVERT ST",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861379",
            "telephone_number": "401-714-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESSOFF",
        "first_name": "JUDITH",
        "middle_name": "SHARON",
        "credential": "ANP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-06",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "RI",
            "license": "NPP30348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.