Judith Scott Severson, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

SP009076 Issued in PA

Practice address

1789 N Keyser Ave
Scranton, PA 18508-1250

Phone

(570) 340-4864

Fax

(570) 348-7736

NPI assigned

May 3, 2007

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Horizon Medical Corporation PC

  • Internal Medicine Physician
  • Scranton, PA
  • NPI 1336175595
  NPD (past)
• Scranton Clinic Company LLC

  • Internal Medicine Physician
  • Eynon, PA
  • NPI 1760740732
  NPD (past)
• Scranton Clinic Company LLC

  • Family Medicine Physician
  • Scranton, PA
  • NPI 1912206723
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1952513111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 AUTUMN VIEW LN",
            "address_2": "PO BOX 360",
            "city": "FACTORYVILLE",
            "state": "PA",
            "postal_code": "184198048",
            "telephone_number": "570-945-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 N KEYSER AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185081250",
            "telephone_number": "570-340-4864",
            "fax_number": "570-348-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERSON",
        "first_name": "JUDITH",
        "middle_name": "SCOTT",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP009076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Serkosky
• Ankit Sethi, M.D.
• Nishant Sethi, M.D
• Jessica Sevecke, PH.D
• Gregg Anthony Severs, D.O.
• Aimee Renee Sewitsky, SLP
• Stephanie Seymour, MSW, LSW
• Samantha Shafer
• Kimberly Grace Shaffer, FNP-C, CRNP
• Nakita Shaffer, RN

• Adult Health Nurse Practitioner in Scranton, PA
• Providers in Scranton, PA by specialty
• Adult Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.