Active NPI
Judy Fox Darden
- Nurse's Aide
- Snow Hill, NC
National Provider Identifier
1962704643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- HC4249
- Practice address
- 101 W Greene St
Snow Hill, NC 28580-1431 - Phone
- (252) 747-2976
- Fax
- (252) 747-7802
- NPI assigned
- Dec 1, 2010
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | HC4249 | NC | |
| Personal Care Attendant | 3747P1801X | HC4249 | NC | |
| Home Health Aide | 374U00000X | HC4249 | NC | |
| Nurse's Aide | 376K00000X | HC4249 | NC | Primary |
Addresses
Primary practice location
101 W Greene St
Snow Hill, NC 28580-1431
Mailing address
PO Box 71
101 West Greene Street
Snow Hill, NC 28580-0071
Phone (252) 747-2976
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053563650 | Medicaid | NC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HC4249 | NC | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Links Community Intervention Agency | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Snow Hill, NC
- NPI 1053563650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291161600000",
"number": "1962704643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 71",
"address_2": "101 WEST GREENE STREET",
"city": "SNOW HILL",
"state": "NC",
"postal_code": "285800071",
"telephone_number": "252-747-2976",
"fax_number": "252-747-7802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W GREENE ST",
"city": "SNOW HILL",
"state": "NC",
"postal_code": "285801431",
"telephone_number": "252-747-2976",
"fax_number": "252-747-7802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARDEN",
"first_name": "JUDY",
"middle_name": "FOX",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-01",
"last_updated": "2010-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NC",
"license": "HC4249",
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NC",
"license": "HC4249",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NC",
"license": "HC4249",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "NC",
"license": "HC4249",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053563650",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Snow Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.