JUDY SOUTHERN (NPI# 1003118092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003118092 |
| Entity Type | Individual |
| Full Name | JUDY SOUTHERN |
| Practice Address |
1100 E Wendover Ave Greensboro NC 27405-6713 |
| Practice Telephone | 3366413712 |
| Practice Fax Number | 3366416603 |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-11-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
59604 | NC | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1245272657 | 05 |
| Street Address |
1100 E WENDOVER AVE |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405-6713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144284316 | Mark David Hill | Dentist | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2006-04-14 |
| 1821605080 | Morenike Kritzer | Nurse Practitioner | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2020-09-30 |
| 1790391563 | Michelle Lee Woolverton | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2020-09-17 |
| 1841804440 | Anna Minnick | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2020-09-02 |
| 1114558483 | Samantha Scales Boyd | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2020-01-27 |
| 1811544729 | Rachel Duncan Hunter | Dietitian, Registered | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2019-08-26 |
| 1336793157 | Jahci Heath | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2019-07-30 |
| 1205497666 | Beverly Louya Lance | Nurse's Aide | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2019-06-26 |
| 1760949259 | Nigar Hasanaliyeva | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2019-02-21 |
| 1811453160 | Thelma Jeter | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2019-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477038727 | Miya Jackson | Behavior Technician | 2308 Golden Gate Dr, Apt G, Greensboro, NC 27405 | 2018-10-02 |
| 1821576299 | Woodrow Eric Bradley | Day Training/Habilitation Specialist | 1403 Woocbriar Ave, Greensboro, NC 27405 | 2018-07-30 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1760972434 | Ayana Linette Holland | Home Health Aide | 1417 Old Hickory Dr, Greensboro, NC 27405 | 2018-05-17 |
| 1790294700 | G. Antoine Gray | Specialist | 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 | 2017-09-21 |
| 1306375910 | Wendy Carisa Boger | Registered Nurse | 1100 East Wendover Avenue, Greensboro, NC 27405 | 2017-06-07 |
| 1659827715 | Changing Paths Counseling Center Pllc | Community/Behavioral Health | 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 | 2016-08-29 |
| 1295187896 | Amanda Kirby Counseling, PC | Counselor | 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 | 2016-07-07 |
| 1780049429 | Pta | Residential Treatment Facility, Physical Disabilities | 1900 Sheldon Road, Greensboro, NC 27405 | 2015-12-23 |
| 1841655644 | Amaya Nicole Hardy | Counselor | 1600r E Wendover Ave Ste R, Greensboro, NC 27405 | 2015-12-21 |
| Find all providers in zip 27405 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740471176 | Patricia Inman Hilliard | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2007-08-09 |
| 1659463388 | Sharone L Cobb | Registered Nurse | 2710 Henry St, Suite 100-b, Greensboro, NC 27405-4961 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750993473 | Jacqueline Louise Cotter | Registered Nurse | 8090 Claude Gilbert Trl, Denver, NC 28037-8887 | 2020-08-24 |
| 1649895673 | Shanne Foxx | Registered Nurse | 6154 Trotters Ridge Rd, Charlotte, NC 28227-4052 | 2020-06-16 |
| 1861053001 | Joanna Marie Dymora | Registered Nurse | 2293 S. Sterling Street, Suite D, Marion, NC 28752-7787 | 2019-06-27 |
| 1164993606 | Erica Richards | Registered Nurse | 2527 Brisbane Woods Way, Cary, NC 27518-9259 | 2018-12-10 |
| 1891225884 | A Greater Helping Hand Home Care | Registered Nurse | 39 Marsh Creek Dr, Garner, NC 27529-6000 | 2017-06-13 |
| 1487004123 | Maxine Rehder | Registered Nurse | 3319 Gibbs Ln, Hillsborough, NC 27278-9437 | 2016-06-14 |
| 1942551395 | Nanas Family Care Homes | Registered Nurse | 847 Zapata Ln, Fayetteville, NC 28314-8456 | 2012-09-25 |
| 1760637433 | Peter Bernardini | Registered Nurse | 123 Balsam Ct, Chapel Hill, NC 27514-1609 | 2008-11-23 |
| 1346404142 | Cynthia Keefer | Registered Nurse | 64 John Crowe Rd, Health and Medical Division, Cherokee, NC 28719 | 2008-07-11 |
| 1164689758 | Whites Family Care Home | Registered Nurse | 708 West 3rd Street, Greenville, NC 27834-1928 | 2008-05-21 |
| Find all providers with the same taxonomy | ||||
| City | GREENSBORO |
| Zip Code | 27405 |
Please comment or provide details below to improve the information on JUDY SOUTHERN.
| 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.