JUDY LINN EDWARDS (NPI# 1790243830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790243830 |
Entity Type | Individual |
Full Name | JUDY LINN EDWARDS |
Practice Address |
803 Hacienda Ln Bloomfield NM 87413-5109 |
Mailing Address |
3000 Goffs Falls Rd Ste 101 Manchester NH 03103-6109 |
Practice Telephone | 5056321823 |
Mailing Telephone | 8009952673 |
Enumeration Date | 2019-03-07 |
Last Update Date | 2019-03-07 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 164W00000X | Licensed Practical Nurse | LPN094988 | GA | Nursing Service Providers |
N | 164W00000X | Licensed Practical Nurse | 025.0128559 | VT | Nursing Service Providers |
Y | 164W00000X | Licensed Practical Nurse | PN5177062 | FL | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780812826 | Judy Ann Edwards | Social Worker | 9880 Hyacinth Ave Rm 9, Baton Rouge, LA 70810-2433 | 2009-06-28 |
1962999813 | Judy Edwards | Pharmacy Technician | 157 Brozzini Ct Ste A, Greenville, SC 29615-5340 | 2018-04-17 |
1740627983 | Judy Waddell Edwards | Registered Nurse | 1390 Cavalier Way, Roebuck, SC 29376-3367 | 2013-05-29 |
1477711851 | Judy Carolyn Lee Edwards | Physical Therapy Assistant | 9200 Glenwater Dr, Charlotte, NC 28262-8557 | 2008-06-02 |
Street Address |
803 HACIENDA LN |
City | BLOOMFIELD |
State | NM |
Zip Code | 87413-5109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457306730 | Silverstone Healthcare of Bloomfield, LLC | Skilled Nursing Facility | 803 Hacienda Ln, Bloomfield, NM 87413-5109 | 2006-05-24 |
1134607690 | 803 Hacienda Lane Operations LLC | Skilled Nursing Facility | 803 Hacienda Ln, Bloomfield, NM 87413-5109 | 2018-08-06 |
1952891095 | Krista Buschbacher | Occupational Therapist | 803 Hacienda Ln, Bloomfield, NM 87413-5109 | 2018-05-15 |
1861743775 | Bloomfield Health Facilities Lp | Skilled Nursing Facility | 803 Hacienda Ln, Bloomfield, NM 87413-5109 | 2012-10-02 |
1669787776 | Angie Kiger-legrand | Physical Therapy Assistant | 803 Hacienda Ln, Bloomfield, NM 87413-5109 | 2010-08-12 |
1598964223 | Bloomfield Nursing Operations LLC | Skilled Nursing Facility | 803 Hacienda Ln, Bloomfield, NM 87413-5109 | 2007-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891396057 | Heather Smith | Behavior Technician | 25a Cr 5060, Bloomfield, NM 87413 | 2020-11-04 |
1104292325 | Michelle Childers-beck | Social Worker | 235 N Bergin Lane, Bloomfield, NM 87413 | 2015-08-12 |
1427364090 | Marichu Lazo | Occupational Therapy Assistant | 803 Hacienda Lane, Bloomfield, NM 87413 | 2010-08-20 |
1023344181 | Sundance Dental Care of Bloomfield, LLC. | Dentist | 100 South First Street, Bloomfield, NM 87413 | 2009-10-26 |
1972838266 | Chris Dwight Richardson | Physical Therapy Assistant | #6 Cty Rd 5149, Bloomfield, NM 87413 | 2009-10-05 |
1710025028 | Roy Hernandez | Speech-Language Pathologist | 325 North Bergin Lane, Bloomfield, NM 87413 | 2007-02-01 |
1760427587 | Dhhs, Phs, Naihs, Shiprock Hospital | Clinic/Center | 6 Road 7586, Bloomfield, NM 87413 | 2006-06-17 |
1568500833 | Connie Hernandez | Speech-Language Pathologist | 325 North Bergin Lane, Bloomfield, NM 87413-2430 | 2007-02-01 |
1841453636 | James Bellah | Family Medicine | 6 County Road 7586, Bloomfield, NM 87413-4934 | 2008-07-02 |
1598751778 | David Lynn Doss | Optometrist | 6 Road 7586, Bloomfield, NM 87413-4934 | 2005-09-23 |
Find all providers in zip 87413 |
Taxonomy Code | 164W00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Practical Nurse |
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679189690 | Sarah Boonstra | Licensed Practical Nurse | 9277 Dugway Rd, Bloomfield, NY 14469-9543 | 2020-09-16 |
1902419039 | Bernedette Dimbo | Licensed Practical Nurse | 203 Watsessing Ave, Bloomfield, NJ 07003-5605 | 2020-08-28 |
1710509658 | Caring Nurses, LLC | Licensed Practical Nurse | 107 Old Windsor Rd, Bloomfield, CT 06002-1400 | 2020-05-14 |
1972142354 | Rebecca Smith Benjamin | Licensed Practical Nurse | 9 Dodd St, Bloomfield, NJ 07003-4633 | 2020-01-02 |
1851743744 | Shana Cogman | Licensed Practical Nurse | 103 La France Ave, Bloomfield, NJ 07003-5683 | 2016-07-05 |
1194009100 | Wismick Constant | Licensed Practical Nurse | 49 Elston St, Bloomfield, NJ 07003-3911 | 2011-10-10 |
1194003715 | Bonnie J Pestle | Licensed Practical Nurse | 4121 Jones Rd, Bloomfield, NY 14469-9733 | 2011-07-31 |
1508041856 | Suellen Sickles | Licensed Practical Nurse | 2587 County Road 39, Bloomfield, NY 14469-9501 | 2008-01-07 |
1710178165 | Kim Ann Valone | Licensed Practical Nurse | 3209 Wesley Rd, Bloomfield, NY 14469-9533 | 2007-08-09 |
1689882367 | Nancy Ashworth | Licensed Practical Nurse | 310 W Sycamore Ave, Bloomfield, NM 87413-5844 | 2007-05-18 |
Find all providers in BLOOMFIELD |
City | BLOOMFIELD |
Zip Code | 87413 |
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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.