JUDITH ANN KRUPALA (NPI# 1861595936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861595936 |
| Entity Type | Individual |
| Full Name | JUDITH ANN KRUPALA |
| Credential | NURSE PRACTITIONER |
| Practice Address |
1109 E Broadway St Cuero TX 77954-2108 |
| Practice Telephone | 3612752800 |
| Practice Fax Number | 3612758791 |
| Mailing Telephone | (361) 275-2925 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 245661 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP109489 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 210507402 | 05 | |
| TX | MEDICARE | 577062YK7Y | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 139 W Franklin, Goliad, TX 77963 | 3616458235 | 3616453282 |
| Street Address |
1109 E BROADWAY ST |
| City | CUERO |
| State | TX |
| Zip Code | 77954-2108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689645376 | Parkside Family Clinic, Pa | Family Medicine | 1109 E Broadway St, Cuero, TX 77954-2108 | 2006-01-30 |
| 1285164749 | Hermelinda Fitts | Nurse Practitioner | 1109 E Broadway St, Cuero, TX 77954-2108 | 2017-06-18 |
| 1487009734 | Cody A Walthall | Family Medicine | 1109 E Broadway St, Cuero, TX 77954 | 2016-04-24 |
| 1659770030 | Dewitt Medical District | Family Medicine | 1109 E Broadway St, Cuero, TX 77954-2108 | 2014-08-21 |
| 1063793123 | Summer Laake | Nurse Practitioner | 1109 E Broadway St, Cuero, TX 77954-2108 | 2011-09-02 |
| 1962528778 | Kelly M Sullivan | Social Worker | 1109 E Broadway St, Cuero, TX 77954-2108 | 2007-03-22 |
| 1922196393 | Troy W Lischka | Physician Assistant | 1109 E Broadway St, Cuero, TX 77954-2108 | 2006-10-11 |
| 1700893484 | Herbert J Hall | Nurse Practitioner | 1109 E Broadway St, Cuero, TX 77954-2108 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649658279 | H-e-b, Lp | Clinical Medical Laboratory | 909 E Broadway St, Cuero, TX 77954 | 2015-05-15 |
| 1558331421 | Dewitt Medical District | Home Health | 615 N Esplanade St, Cuero, TX 77954 | 2006-01-24 |
| 1922367366 | D Ross Braune Ma Lpc and Associates | Counselor | 401 Broadway Ave., 100, Cuero, TX 77954 | 2012-05-04 |
| 1053487868 | Dewitt Medical District | Nursing Care | 615 N Esplanade St, Cuero, TX 77954 | 2006-11-27 |
| 1770699027 | Cuero Medical Associates Pa | Family Medicine | 2500 N Esplanade, Suite 102, Cuero, TX 77954 | 2006-08-21 |
| 1710202098 | David Ronald Polasek | Pharmacist | 515 N Esplanade, Cuero, TX 77954-0270 | 2010-03-30 |
| 1124284500 | Renal Treatment Centers Southeast Lp | Clinic/Center | 1105 E Broadway St, Cuero, TX 77954-2108 | 2008-08-05 |
| 1104843382 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1202 E Broadway St, Cuero, TX 77954-2124 | 2006-07-16 |
| 1376082396 | Kevin Ferrall | Pharmacist | 909 E Broadway St, Cuero, TX 77954-2126 | 2017-02-23 |
| 1104953215 | Dewitt-lavaca Special Education Cooperative | Counselor | 960 E Broadway St, Cuero, TX 77954-2131 | 2007-02-27 |
| Find all providers in zip 77954 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548237506 | Beverly Claire Haliburton | Nurse Practitioner | 2500 N Esplanade, Suite 102, Cuero, TX 77954-4727 | 2006-03-08 |
| 1285164749 | Hermelinda Fitts | Nurse Practitioner | 1109 E Broadway St, Cuero, TX 77954-2108 | 2017-06-18 |
| 1679013783 | Ashley Kalmus | Nurse Practitioner | 2500 N Esplanade St, Suite 102, Cuero, TX 77954-4723 | 2017-03-08 |
| 1477923142 | Samantha King | Nurse Practitioner | 1525 Fm 766, Cuero, TX 77954-6300 | 2015-10-06 |
| 1508248634 | Victoria Foxell | Nurse Practitioner | 2500 N Esplanade St Ste 102, Cuero, TX 77954-4727 | 2015-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1891396586 | Stacey Lynne Ready | Nurse Practitioner | 200 Uptmore Rd, West, TX 76691-2339 | 2020-11-08 |
| 1992306609 | Jillian Mcclintock | Nurse Practitioner | 2506 Graystone Ln, Corinth, TX 76210-1607 | 2020-11-08 |
| 1851992515 | Stacie A Gregg | Nurse Practitioner | 1229 Johnny Ln, San Angelo, TX 76905-2331 | 2020-11-07 |
| 1285235929 | Activate Family Health, Pllc | Nurse Practitioner | 203 E Davis St Ste F-1026, Conroe, TX 77301-3159 | 2020-11-07 |
| 1629679782 | Kristen Aili Johnson | Nurse Practitioner | 3850 Fm 18, Abilene, TX 79602-2004 | 2020-11-05 |
| 1376144303 | Stephanie Renee Knight | Nurse Practitioner | 4326 Egret Dr, Seabrook, TX 77586-2557 | 2020-11-05 |
| 1457952319 | Olufunke Oyindamola Oshoba | Nurse Practitioner | 200 Odyssey Ln, Mansfield, TX 76063-3438 | 2020-11-05 |
| 1518568419 | Ian Mardis | Nurse Practitioner | 12528 Tierra Encino Dr, El Paso, TX 79938-4525 | 2020-11-05 |
| 1851992994 | Angela Davis | Nurse Practitioner | 9523 Scanlan Heights Ln, Missouri City, TX 77459-5503 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
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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.