Active NPI
Shenika Twanet Judd
- Specialist
- Fayetteville, NC
National Provider Identifier
1962062240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 724 N Reilly Rd Ste C
Fayetteville, NC 28303-6042 - Phone
- (910) 977-6799
- NPI assigned
- Jun 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
724 N Reilly Rd Ste C
Fayetteville, NC 28303-6042
Mailing address
724 N Reilly Rd Ste C
Fayetteville, NC 28303-6042
Phone (910) 977-6799
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | allurelovereplacement@gmail.com | Health Information Exchange (HIE) |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560816000000",
"number": "1962062240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 N REILLY RD STE C",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283036042",
"telephone_number": "910-977-6799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 N REILLY RD STE C",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283036042",
"telephone_number": "910-977-6799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDD",
"first_name": "SHENIKA",
"middle_name": "TWANET",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-18",
"last_updated": "2019-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "allurelovereplacement@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "724 N Reilly Rd Ste C",
"city": "Fayetteville",
"state": "NC",
"country_code": "US",
"postal_code": "283036042",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.