MS. PEGGY BRASSELL JUDD (NPI# 1467453977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467453977 |
| Entity Type | Individual |
| Full Name | MS. PEGGY BRASSELL JUDD |
| Credential | LPN |
| Practice Address |
805 River Rd Kchu/fp Dover DE 19901-3753 |
| Mailing Address |
139 Pine Cone Dr Dover DE 19901-1965 |
| Practice Telephone | 3027394728 |
| Practice Fax Number | 3027397735 |
| Mailing Telephone | 3027394728 |
| Mailing Fax Number | 3027397735 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | L2-0004326 | DE | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235430224 | Peggy Kathleen Judd | Mechanotherapist | 515 Foy Ave, Lexington, NC 27292-3831 | 2010-11-08 |
| Street Address |
805 RIVER RD KCHU/FP |
| City | DOVER |
| State | DE |
| Zip Code | 19901-3753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407858509 | Mary Conrad | Nurse Practitioner | 805 River Rd, Dover, DE 19901-3753 | 2005-06-02 |
| 1427693415 | Erik Gumbs | Nurse Practitioner | 805 River Rd, Dover, DE 19901-3753 | 2019-11-13 |
| 1770098402 | Kathleen Louise Joiner-martin | Nurse Practitioner | 805 River Rd, Dover, DE 19901-3753 | 2017-12-04 |
| 1326171067 | Hee Soon Lee | Clinic/Center | 805 River Rd, Dover, DE 19901-3753 | 2007-03-13 |
| 1356495725 | Kimberly Jane Ross-tilley | Nurse Practitioner | 805 River Rd, Dover, DE 19901-3753 | 2007-01-23 |
| 1629120787 | Matilde Cruz | Nurse Practitioner | 805 River Rd, Dover, DE 19901-3753 | 2007-01-17 |
| 1811910763 | David Sibley | Psychiatry & Neurology | 805 River Rd, Dover, DE 19901-3753 | 2006-07-25 |
| 1104871920 | State of Delaware | Clinic/Center | 805 River Rd, Dover, DE 19901-3753 | 2006-05-23 |
| 1033197843 | Lisa Anne Wullschleger | Nurse Practitioner | 805 River Rd, Kent County Public Health Family Planning, Dover, DE 19901 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386274488 | Aba Services, LLC | Behavioral Analyst | 8 The Green, Ste R, Dover, DE 19901 | 2020-01-17 |
| 1699332171 | Robin Lynn Maracle | Clinical Nurse Specialist | 640 S. State St., Mail Code 1403, Dover, DE 19901 | 2019-05-21 |
| 1235697749 | Kurstyn T Derr | Physician Assistant | 540 South Govenors Ave, Suite 100 Mailcode 3041, Dover, DE 19901 | 2019-03-05 |
| 1831610534 | Vaman Kanu Patel | Physical Therapist | 16 Coventry Ct, Dover, DE 19901 | 2017-07-03 |
| 1033656798 | American Medical LLC | Durable Medical Equipment & Medical Supplies | 9 E. Lockerman Street, #202, Dover, DE 19901 | 2017-01-19 |
| 1245575067 | Keena Segre | Pharmacist | 601 South State Street, Dover, DE 19901 | 2012-12-05 |
| 1376845818 | Michael Angelo Vernale IIi | Psychologist | 260 Chad Street, Dover Afb, Dover, DE 19901 | 2010-12-02 |
| 1396046215 | Richard Scott Shipley | Hearing Instrument Specialist | 1000 Dover Mall,miracle Ear/sears/, Route 13 North Dupont Hwy., Dover, DE 19901 | 2010-11-09 |
| 1780999599 | Suzanne Irene Ford | Speech-Language Pathologist | 1695 S. State Street Suite 5-a, Dover, DE 19901 | 2010-08-17 |
| 1780816231 | Karen A West | Nutritionist | 540 S State St, Dover, DE 19901 | 2009-08-18 |
| Find all providers in zip 19901 | ||||
| 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 |
|---|---|---|---|---|
| 1841645926 | Angela Morgan | Licensed Practical Nurse | 1012 College Rd Ste 101, Dover, DE 19904-6506 | 2016-04-26 |
| 1750625158 | Patricia Pence | Licensed Practical Nurse | 515 Sterling Ave, Dover, OH 44622-1527 | 2012-11-26 |
| 1376818286 | Tracy Louise Turck | Licensed Practical Nurse | 920 Boulvard St, Dover, OH 44622 | 2012-03-12 |
| 1992082853 | Sharon Elaine Ayers | Licensed Practical Nurse | 6592 Korns Dr Nw, Dover, OH 44622-7022 | 2011-11-07 |
| 1629359393 | Billivens Sanon | Licensed Practical Nurse | 146 Pequannock St, Dover, NJ 07801-3585 | 2011-09-07 |
| 1285876573 | Joan Miller | Licensed Practical Nurse | 690 Butter Rd, Dover, PA 17315-2016 | 2009-04-01 |
| 1770722068 | Linda Stevens | Licensed Practical Nurse | 3421 Holly Rd, Dover, PA 17315-4429 | 2009-02-11 |
| 1225212350 | Dana M. Earhart | Licensed Practical Nurse | 723 Spring Street, Attn. Dana Earhart, School Nurse, Dover, TN 37058 | 2007-12-26 |
| 1376768291 | Jo L Ervin | Licensed Practical Nurse | 135 W 23rd St, Dover, OH 44622-2420 | 2007-04-16 |
| 1902403215 | Stacey Faye Henson | Licensed Practical Nurse | 1021 Spring St, Dover, TN 37058-3302 | 2020-10-08 |
| Find all providers in DOVER | ||||
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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.