KIMBERLY LYNN JUDD MD
NPI 1619018470
Pediatrics - Neonatal-Perinatal Medicine in Boise, ID

Q: What is Kimberly Judd's NPI number?

The NPI number for Kimberly Judd is 1619018470. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Q: What is Kimberly Judd's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Judd was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 12, 2007PECOS Enrolled

1055 N CURTIS RD, BOISE, ID 83706(208) 302-4600(208) 302-4655 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 16, 2023, Jan 18, 2017 (2 updates tracked since 2017).

On this page

About Kimberly Lynn Judd Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY LYNN JUDD MD (NPI 1619018470) is an individual neonatal-perinatal medicine provider in Boise, Idaho, licensed in Idaho (M11680) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1619018470

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameKIMBERLY LYNN JUDDCredential: MD

Location Address1055 N CURTIS RDBoise, ID 83706-1309

Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 367-5170 · Fax (082) 367-5180

Phone(208) 302-4600

Fax(208) 302-4655

Sole ProprietorNo

Enumeration DateFebruary 12, 2007

Last NPPES UpdateJune 17, 20262 updates tracked since enumeration

NPPES CertifiedJune 17, 2026

✔ NPI 1619018470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

Licenses✔ Licensed in ID · M11680✔ Licensed in CA · C209909

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

1055 N CURTIS RD, Boise, ID 83706

Open in Google Maps ↗

Secondary Practice Locations 3

Location 139000 Bob Hope DrRancho Mirage, CA 92270-3202 · Phone (760) 340-3911 · Fax (760) 834-7874

Location 22003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · Phone (208) 625-5185 · Fax (208) 625-5728

Location 34300 E Flamingo AveNampa, ID 83687-3138 · Phone (208) 302-4600 · Fax (208) 302-4655

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Lynn Judd Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Leave this field empty

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MAUREEN A NEWMAN M.D.

Family Medicine (Hospice and Palliative Medicine)