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JUDITH LAUREN MARDER AGACNP FNP-BC NPI 1356891220


NPI Information

NPI: 1356891220
Provider Name: JUDITH LAUREN MARDER, AGACNP, FNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
743 SPRING ST NE
GAINESVILLE, GA
ZIP 30501
Phone: (770) 219-9000
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Judith Lauren Marder, AGACNP, FNP-BC is an acute care nurse practitioner in Gainesville, GA with 9 years of experience. Judith Lauren Marder, AGACNP, FNP-BC NPI is 1356891220. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MERCER UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2015

The provider's business location address is:

743 SPRING ST NE
GAINESVILLE, GA
ZIP 30501
Phone: (770) 219-9000
Fax: (770) 219-6021

The NPI 1356891220 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)
  • Emergent insertion of breathing tube into windpipe cartilage using an endoscope (HCPCS:31500)

The enumeration date for this NPI number is 10/4/2016 and was last updated on 3/18/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute CareRN2012550GEORGIANo
2363LF0000XNurse PractitionerFamilyRN201550GEORGIANo
3363LA2100XNurse PractitionerAcute CareRN201550GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1003182231BOTHERGEORGIAPEACH STATE
2003182231BMEDICAIDGEORGIA
3003182231AMEDICAIDGEORGIA
41304001OTHERGEORGIAWELLCARE
5003182231AOTHERGEORGIAPEACH STATE
604229901OTHERGEORGIAAMERIGROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.