MRS. CARRIE MARIE JUDD


Address: 19933 W 13 Mile Rd, Southfield, Southfield, MI 48076-1024
Phone: 2482039000

MRS. CARRIE MARIE JUDD (NPI# 1760883623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760883623
Entity Type Individual
Full Name MRS. CARRIE MARIE JUDD
Other Name CARRIE MARIE SPEARS
Credential PA-C
Practice Address 19933 W 13 Mile Rd
Southfield
Southfield
MI 48076-1024
Mailing Address 1824 Lathers St
Garden City
Garden City
MI 48135-3035
Practice Telephone 2482039000
Mailing Telephone 7348374907
Enumeration Date 2014-09-10
Last Update Date 2014-09-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 5601007153 MI Physician Assistants & Advanced Practice Nursing Providers

Other Providers CARRIE JUDD

NPI Name Taxonomy Address Enumeration
1588034128 Carrie Judd Nurse Practitioner 703 E Marshall Ave, Suite 1001, Longview, TX 75601-5500 2015-09-25

Office Location

Street Address 19933 W 13 MILE RD
SOUTHFIELD
City SOUTHFIELD
State MI
Zip Code 48076-1024

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003812181 Evergreen Health and Rehabilitation Center, LLC Skilled Nursing Facility 19933 W 13 Mile Rd, Southfield, MI 48076-1024 2005-06-23
1063902187 Wendy Dorshann Riley-hill Occupational Therapist 19933 W 13 Mile Rd, Southfield, MI 48076-1024 2018-05-14
1710477054 Vina Vila Zacarias Physical Therapist 19933 W 13 Mile Rd, Southfield, MI 48076-1024 2018-05-11
1992295372 Heather Wild Occupational Therapist 19933 W 13 Mile Rd, Southfield, MI 48076-1024 2018-05-11
1861982290 Gwendolyn Rock Physical Therapist 19933 W 13 Mile Rd, Southfield, MI 48076-1024 2018-05-10
1710476544 Beth Joy Bradford Occupational Therapist 19933 W 13 Mile Rd, Southfield, MI 48076-1024 2018-05-07
1255833687 Rebecca Mcroberts Occupational Therapist 19933 W 13 Mile Rd, Southfield, MI 48076-1024 2018-03-01
1396246385 Sherena Rodriguez Physical Therapist 19933 W 13 Mile Rd, Southfield, MI 48076-1024 2018-02-23
1235564402 Katherine Rose Shaw Nurse Practitioner 19933 W 13 Mile Rd, Southfield, MI 48076-1024 2013-09-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942813753 Elaine Sarah Kahn Social Worker 15999 West Twelve Mile Rd, Southfield, MI 48076 2020-08-31
1295353829 Marian Hannah Ibrahim Dentist 19189 W 12 Mile Rd, Lathrup Village, MI 48076 2020-07-09
1699317669 Meadow Lane Rehabilitative Therapies LLC Social Worker 29895 Greenfield Rd., Suite 104b, Southfield, MI 48076 2019-10-11
1760035752 Taliah Laneice Williams-hunter Counselor 30119 Sparkleberry Dr., Southfield, MI 48076 2019-07-19
1386114742 Mavis Gail Pookrum Technician 21732 Colony Park Circle #105, Southfield, MI 48076 2018-11-28
1861962417 Millennial Infusion Centers Inc Clinic/Center 26250 Northwestern Hwy Ste 201, Southfield, MI 48076 2018-11-27
1215429212 Debra Deanes Counselor 30233 Southfiels Rd, 203, Southfield, MI 48076 2018-06-05
1437675758 Kenneth Gerard Giles Counselor 29532 Southfield Rd. Suite 208, Southfield, MI 48076 2017-08-17
1902346836 Linsk Psychiatry Services P C Clinic/Center 21751 W 12 Mile Rd, Suite 205, Southfield, MI 48076 2017-02-25
1023552361 Massage Serenity Community/Behavioral Health 20245 W. 12 Mile Rd, Suite 113, Southfield, MI 48076 2016-12-06
Find all providers in zip 48076

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083231252 Kaitlin Elizabeth Flaherty Physician Assistant 30130 Northgate Ln, Southfield, MI 48076-1063 2020-07-02
1265090047 Kathy Thi Y Nhi Pham Physician Assistant 29689 Marshall St, Southfield, MI 48076-5845 2019-06-05
1013488535 Rachel Moss Physician Assistant 26400 W 12 Mile Rd Ste 170, Southfield, MI 48034-1753 2018-12-10
1760853147 Reema Sutariya Physician Assistant 24901 Northwestern Hwy Ste 214, Southfield, MI 48075-2205 2015-10-12
1760861983 Erin Anne Hartsmith Physician Assistant 29169 Southfield Rd, Southfield, MI 48076 2015-05-20
1871921171 Megann Jobson Physician Assistant 21700 Northwestern Hwy Ste 600, Southfield, MI 48075-4912 2013-10-23
1376970905 Justin Scott Remsing Physician Assistant 28405 Brooks Ln, Southfield, MI 48034-2090 2013-09-27
1396004974 Winona Chatman Smith Physician Assistant 19050 Coral Gables St, Southfield, MI 48076-4431 2012-05-16
1457485237 Thelma Howard Physician Assistant 4000 Town Center, Suite 370, Southfield, MI 48075 2007-03-15
1740367036 Kristi A Tesarz Physician Assistant 26206 W 12 Mile Rd Ste 202, Southfield, MI 48034-8500 2006-11-01
Find all providers in SOUTHFIELD

Competitor

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City SOUTHFIELD
Zip Code 48076

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Dataset Information

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.

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