Active NPI
Lucy Judson, P.A.
- Medical Physician Assistant
- Lafayette, CO
National Provider Identifier
1962467894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 273
- Practice address
- 2000 W South Boulder Road
Lafayette, CO 80026-1389 - Phone
- (303) 665-9310
- Fax
- (720) 206-0434
- NPI assigned
- Apr 20, 2006
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 273 | CO | Primary |
Addresses
Primary practice location
2000 W South Boulder Road
Lafayette, CO 80026-1389
Mailing address
1345 Plaza Court North
#1A
Lafayette, CO 80026-2832
Phone (303) 665-3036
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33828563 | Medicaid | CO |
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 273 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Campesina Family Health Services | Past | Accepting new patients | |
| Clinica Campesina Family Health Services | Past | Accepting new patients | |
| Boulder Community Health | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Boulder, CO
- NPI 1609822030
-
- Federally Qualified Health Center (FQHC)
- Thornton, CO
- NPI 1093702177
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Longmont, CO
- NPI 1558109223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244505600000",
"number": "1962467894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 PLAZA COURT NORTH",
"address_2": "#1A",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800262832",
"telephone_number": "303-665-3036",
"fax_number": "720-206-0434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 W SOUTH BOULDER ROAD",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800261389",
"telephone_number": "303-665-9310",
"fax_number": "720-206-0434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDSON",
"first_name": "LUCY",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2009-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "273",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33828563",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.