Todd Alan Judkins, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

222229 Issued in WI

Practice address

1669 Church St
Marinette, WI 54143-3452

Phone

(920) 391-9689

NPI assigned

Oct 2, 2017

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506902400000",
    "number": "1982114245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 CHURCH ST",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541433452",
            "telephone_number": "920-391-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 CHURCH ST",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541433452",
            "telephone_number": "920-391-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDKINS",
        "first_name": "TODD",
        "middle_name": "ALAN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "222229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Sue Johnson, LMT
• Dan Johnston
• Jacqueline Joan Johnston, 112561-30
• Ashley Jones, FNP-C
• Shannon E. Jones, BSN-RN, NCSN
• Wendy Therese Kahl, BS CSW
• Michael M Karkkainen, DO
• Kristina Kartheiser
• Ashley Kaster
• Megan Keller

• Registered Nurse in Marinette, WI
• Providers in Marinette, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.