CARRIE JUDD (NPI# 1588034128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588034128 |
| Entity Type | Individual |
| Full Name | CARRIE JUDD |
| Credential | FNP-C |
| Practice Address |
703 E Marshall Ave Suite 1001 Longview TX 75601-5500 |
| Mailing Address |
Po Box 4207 Longview TX 75606-4207 |
| Practice Telephone | 9037537291 |
| Practice Fax Number | 9033155000 |
| Mailing Telephone | 9033154119 |
| Mailing Fax Number | 9033154130 |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2015-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP129158 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760883623 | Carrie Marie Judd | Physician Assistant | 19933 W 13 Mile Rd, Southfield, Southfield, MI 48076-1024 | 2014-09-10 |
| Street Address |
703 E MARSHALL AVE SUITE 1001 |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75601-5500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407853732 | Gary R Jacobs | Surgery | 703 E Marshall Ave, #4008, Longview, TX 75601-5500 | 2005-07-01 |
| 1568011336 | Jamie Dawn Graves | Nurse Practitioner | 703 E Marshall Ave, Longview, TX 75601-5500 | 2019-09-05 |
| 1831562834 | Dana Johnson | Nurse Practitioner | 703 E Marshall Ave, Suite 5007, Longview, TX 75601-5500 | 2015-11-12 |
| 1750769238 | Special Health Resources for Texas Incorporated | Clinic/Center | 703 E Marshall Ave, Suite 310, Longview, TX 75601-5500 | 2015-05-15 |
| 1588074082 | Horachel Jones | Nurse Practitioner | 703 E Marshall Ave, Suite 5008, Longview, TX 75601-5500 | 2014-05-06 |
| 1710238514 | Sai Soumya S. Kota | Internal Medicine | 703 E Marshall Ave, Suite 1001, Longview, TX 75601-5500 | 2012-09-20 |
| 1528323953 | Khashayar Kash Vahdat | Internal Medicine | 703 E Marshall Ave, Suite 5008, Longview, TX 75601-5500 | 2012-07-11 |
| 1942573381 | Good Shepherd Surgical Associates, Pllc | Surgery | 703 E Marshall Ave, Suite 3000, Longview, TX 75601-5500 | 2012-02-15 |
| 1699085563 | Cr Martin M D P A | Internal Medicine | 703 E Marshall Ave, Suite 3008, Longview, TX 75601-5500 | 2010-10-13 |
| 1821327966 | Nicole Deann Francis | Nurse Practitioner | 703 E Marshall Ave, Ste 3008, Longview, TX 75601-5500 | 2009-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992351076 | Stebbins Hospice LLC | Hospice Care, Community Based | 600-602 E. Whaley, Longview, TX 75601 | 2019-08-14 |
| 1720437692 | J.l. Miguez, Inc. | Hearing Aid Equipment | 822 N 4th Street, Longview, TX 75601 | 2016-06-10 |
| 1801244090 | Voyage Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 111 W Tyler St, Longview, TX 75601 | 2016-05-27 |
| 1134504426 | Siobain Kay Rogers | Nurse Practitioner | 703 E Marshall Ave Ste 4003, Longview, TX 75601 | 2015-07-28 |
| 1669882882 | Snehal Shrivastava | Internal Medicine | 1402 N 4th St Ste 300, Longview, TX 75601 | 2014-04-28 |
| 1679824221 | Jennifer Ruth Williams | Occupational Therapist | 110 E Tyler St, Longview, TX 75601 | 2012-09-23 |
| 1548525603 | Candice Renee Ramos | Social Worker | 950 N Sixth St, Longview, TX 75601 | 2012-07-05 |
| 1497082747 | Jarett S Harkness | Pharmacist | 511 E. Marshall Avenue, Longview, TX 75601 | 2009-11-06 |
| 1407086333 | Udeme Ekpenyong | Pediatrics | 818 N. 4th St., Longview, TX 75601 | 2009-07-27 |
| 1386823359 | Assisted Living Concepts Inc | Assisted Living Facility | 2104 Alpine Road, Longview, TX 75601 | 2007-10-26 |
| Find all providers in zip 75601 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920247 | Lisa Kalynn Sanders | Nurse Practitioner | 2128 Page Creek Trl, Longview, TX 75601-0007 | 2020-10-20 |
| 1265030993 | Sarah Dawson | Nurse Practitioner | 2040 Eden Dr, Longview, TX 75601-3415 | 2020-10-14 |
| 1104455716 | Carol Henry | Nurse Practitioner | 287 E Cliffwood St, Longview, TX 75603-7556 | 2020-04-06 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1649821901 | Heather M Wilson | Nurse Practitioner | 2828 Bill Owens Pkwy Ste B, Longview, TX 75605-2102 | 2019-09-26 |
| 1942777826 | Cami Jo Tice-harouff | Nurse Practitioner | 16 Ramblewood Dr, Longview, TX 75605-3351 | 2018-10-29 |
| 1346778685 | Kyle Patrick Urbanek | Nurse Practitioner | 705 E Marshall Ave Ste 5000, Longview, TX 75601-5660 | 2017-05-31 |
| 1417481623 | Cody Castle | Nurse Practitioner | 1103 Eden Dr, Longview, TX 75605-3114 | 2017-04-13 |
| 1134570856 | Virginia Hardaway | Nurse Practitioner | 2953 Country Club Rd W, Longview, TX 75602-6861 | 2016-06-23 |
| 1275994824 | Alto Behavioral Health Services Pllc | Nurse Practitioner | 827 Lansing Switch Rd, Longview, TX 75602-7102 | 2016-03-10 |
| Find all providers in LONGVIEW | ||||
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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.