CANDANCE EUNGENIA JUDKINS (NPI# 1679824973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679824973 |
| Entity Type | Individual |
| Full Name | CANDANCE EUNGENIA JUDKINS |
| Practice Address |
150 Glenwood Ln Birmingham AL 35242-5700 |
| Practice Telephone | 2054201900 |
| Mailing Telephone | 2054201900 |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 1-135397 | AL | Nursing Service Providers |
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
1-135397 | AL | Nursing Service Providers |
| Street Address |
150 GLENWOOD LN |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35242-5700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467409938 | Laura A Stoppelbein | Psychologist | 150 Glenwood Ln, Birmingham, AL 35242-5700 | 2006-05-28 |
| 1811509227 | Gina Martin | Speech-Language Pathologist | 150 Glenwood Ln, Birmingham, AL 35242-5700 | 2020-08-18 |
| 1831709880 | Vinetra King | Psychologist | 150 Glenwood Ln, Birmingham, AL 35242-5700 | 2020-08-05 |
| 1417502089 | Percy Storey IIi | Counselor | 150 Glenwood Ln, Birmingham, AL 35242-5700 | 2019-08-09 |
| 1073179172 | Alexis Michele Kruse | Occupational Therapist | 150 Glenwood Ln, Birmingham, AL 35242-5700 | 2019-05-14 |
| 1386110203 | Barathi Chinnappan | Behavioral Analyst | 150 Glenwood Ln, Birmingham, AL 35242-5700 | 2018-10-18 |
| 1619443553 | Amanda Niedfeld | Behavioral Analyst | 150 Glenwood Ln, Birmingham, AL 35242-5700 | 2018-10-18 |
| 1104392026 | Cory Johnson | Behavioral Analyst | 150 Glenwood Ln, Birmingham, AL 35242-5700 | 2018-10-18 |
| 1548736465 | Benjamin Hatley | Behavioral Analyst | 150 Glenwood Ln, Birmingham, AL 35242-5700 | 2018-10-18 |
| 1952806044 | Kimberly Carden | Social Worker | 150 Glenwood Ln, Birmingham, AL 35242-5700 | 2018-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960138 | A Friend of Mind | Behavioral Analyst | 5271 Harvest Ridge Ln, Birmingham, AL 35242 | 2020-10-23 |
| 1295347789 | Restore Therapy Services, Ltd | Physical Therapist | 6328 Farley Lane, Birmingham, AL 35242 | 2020-08-18 |
| 1447894175 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 3201 Endeavor Lane, Vestavia Hills, AL 35242 | 2019-11-06 |
| 1952956468 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 6219 Tattersall Blvd., Hoover, AL 35242 | 2019-08-02 |
| 1033670120 | Rachel Monahan -patterson | Registered Nurse | 7191 Cahaba Valley Road, Suite 300, Birmingham, AL 35242 | 2019-03-29 |
| 1891283818 | Elizabeth Mcrae | Counselor | 150 Glenwood Lane, Birmingham, AL 35242 | 2018-04-25 |
| 1326549429 | Mary Virginia Colvert | Nurse Practitioner | 200 Riverhill Business Park, #250, Birmingham, AL 35242 | 2018-02-23 |
| 1669980504 | Liberty Park Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 1940 Stonegate Dr Ste 30, Vestavia Hls, AL 35242 | 2018-01-12 |
| 1942710983 | Southern Dental Sleep Specialists LLC | Clinic/Center | 4960 Valleydale Rd Ste 100, Birmingham, AL 35242 | 2017-10-04 |
| 1922526557 | Sarah Katherine Fleming | Specialist/Technologist | 1524 Southern Drive, Birmingham, AL 35242 | 2017-09-04 |
| Find all providers in zip 35242 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558855999 | Joseph Louis Davidson | Registered Nurse | 908 20th St S Fl 4, Birmingham, AL 35205-2610 | 2018-06-19 |
| 1255845376 | Teria Jo Fuller | Registered Nurse | 908 20th St S, Birmingham, AL 35205-2610 | 2017-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940439 | Jill Kathleen Boatwright | Registered Nurse | 201 Avalon Ave, Muscle Shoals, AL 35661-2805 | 2019-12-31 |
| 1760026108 | Hilary Wright Burkett | Registered Nurse | Uab Community Psychiatry, 908 20th Street South Rm 487, Birmin, AL 35294 | 2019-10-29 |
| 1740741727 | Joseph Deak | Registered Nurse | 500 Markaview Rd Nw, Huntsville, AL 35805-3652 | 2019-03-30 |
| 1730530536 | Katina Burton | Registered Nurse | 2731 Martin Luther King Blvd, Tuscaloosa, AL 35401-5235 | 2016-06-23 |
| 1619354982 | Euclid Dudley | Registered Nurse | 200 University Blvd, Tuscaloosa, AL 35401-1250 | 2015-05-06 |
| 1871970186 | Deborah Stalfort | Registered Nurse | 200 University Blvd, Tuscaloosa, AL 35401-1250 | 2015-05-06 |
| 1679980916 | Christie Deanna Hale | Registered Nurse | 1111 Wayne Rd Nw, Suite 6, Huntsville, AL 35806-3567 | 2014-07-18 |
| 1609206705 | Amanda E Carter | Registered Nurse | 2411 S Us Highway 31, Bay Minette, AL 36507-8258 | 2013-11-26 |
| 1700122553 | Ava Michelle Dirickson | Registered Nurse | 101 Coliseum Blvd, Montgomery, AL 36109-2707 | 2012-12-26 |
| 1417230087 | Elizabeth Ann Parker | Registered Nurse | 372 Greeno Rd S, Fairhope, AL 36532-1916 | 2011-09-21 |
| Find all providers with the same taxonomy | ||||
| City | BIRMINGHAM |
| Zip Code | 35242 |
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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.