MRS. JUDY NORMAN WILBURN (NPI# 1396769048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396769048 |
| Entity Type | Individual |
| Full Name | MRS. JUDY NORMAN WILBURN |
| Credential | FNP |
| Practice Address |
Rome Cboc of The Syracuse Va 125 Brookley Ave. Rome NY 13441 |
| Mailing Address |
1407 N Madison St Rome NY 13440-2707 |
| Practice Telephone | 3153347100 |
| Practice Fax Number | 3153347171 |
| Mailing Telephone | 3153344662 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | F330964-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
ROME CBOC OF THE SYRACUSE VA 125 BROOKLEY AVE. |
| City | ROME |
| State | NY |
| Zip Code | 13441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831484567 | Griffiss Ec, LLC | Clinic/Center | 105 Dart Circle, Rome, NY 13441 | 2011-06-10 |
| 1437328713 | Duane Leo Wallace | Dentist | 63 Geiger Road, Rome, NY 13441 | 2008-02-21 |
| 1316008311 | Upstate Cerebral Palsy, Inc | Intermediate Care Facility, Mentally Retarded | 124 Brookley Road, Crp #7, Rome, NY 13441 | 2006-12-13 |
| 1821102161 | Nicholas S Peters | Internal Medicine | 267 Hill Road, Suite 200, Rome, NY 13441 | 2006-08-17 |
| 1275590408 | Antonietta Luisi | Optometrist | 125 Brookley Road, Rome, NY 13441 | 2006-05-01 |
| 1851822175 | Elizabeth C Santaniello | Nurse Practitioner | 267 Hill Rd, Rome, NY 13441 | 2017-03-27 |
| 1730521964 | Kathleen Grabo Pallay | Nurse Practitioner | 91 Perimeter Rd, Rome, NY 13441 | 2013-07-30 |
| 1316208002 | Robert Firth Pickels Jr. | Surgery | 267 Hill Road, Rome, NY 13441 | 2012-05-30 |
| 1598851545 | Faxton-st. Lukes Healthcare | Clinic/Center | 91 Perimeter Rd, Ste. 140, Rome, NY 13441 | 2006-10-05 |
| 1609937697 | Upstate Cerebral Palsy, Inc | Intermediate Care Facility, Mentally Retarded | 126 Brookley Road, Rome, NY 13441-0000 | 2006-12-13 |
| Find all providers in zip 13441 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043649817 | Satoya Loreen Hartfield | Nurse Practitioner | 330 Turner Mccall Blvd Sw Ste 107, Rome, GA 30165-5631 | 2013-11-02 |
| 1871773911 | Liza B Meltzer | Nurse Practitioner | 199 Reynolds Bend Dr Se, Rome, GA 30161-2539 | 2007-11-06 |
| 1285747493 | Karen Jenell Craig | Nurse Practitioner | 304 Turner Mccall Blvd, The Breast Center, Rome, GA 30165-0233 | 2006-08-15 |
| 1851312680 | Tammy Michelle Hairel | Nurse Practitioner | 85 John Maddox Drive Connector Nw, Rome, GA 30165-1233 | 2006-07-21 |
| 1962440461 | Laurie Ansley Gerhard | Nurse Practitioner | 28 John Davenport Dr Nw, Rome, GA 30165-2536 | 2006-06-04 |
| 1194703181 | Lisa Pinkard Acree | Nurse Practitioner | 255 W 5th St Sw, Rome, GA 30165-2817 | 2006-01-09 |
| 1235110263 | Lori Ponder | Nurse Practitioner | 15 Riverbend Dr Sw, Ste 100, Rome, GA 30161-6065 | 2005-11-08 |
| 1689676041 | Karen Jean Roberts | Nurse Practitioner | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2005-08-15 |
| 1922605401 | Lauryn Goss Vines | Nurse Practitioner | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2020-10-07 |
| 1508479536 | Emily Adams Thornberry | Nurse Practitioner | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2020-08-28 |
| Find all providers in ROME | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.