Active NPI
Judy Mendes-Andrade
- Nurse Practitioner
- Taunton, MA
National Provider Identifier
1972522662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NPP37170
- Practice address
- 500 Norton Avenue
Taunton, MA 02780-4010 - Phone
- (508) 821-5779
- Fax
- (508) 821-5878
- NPI assigned
- Jul 19, 2006
- Last updated
- Feb 6, 2013
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NPP37170 | RI | Primary |
Addresses
Primary practice location
500 Norton Avenue
Taunton, MA 02780-4010
Mailing address
60 Arnold Ave
Cranston, RI 02905-3814
Phone (401) 461-8160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9023750 | Medicaid | RI |
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 |
|---|---|---|---|
| NPP37170 | RI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360108800000",
"number": "1972522662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 ARNOLD AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029053814",
"telephone_number": "401-461-8160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 NORTON AVENUE",
"city": "TAUNTON",
"state": "MA",
"postal_code": "027804010",
"telephone_number": "508-821-5779",
"fax_number": "508-821-5878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDES-ANDRADE",
"first_name": "JUDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2013-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "RI",
"license": "NPP37170",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9023750",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Taunton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.