ELLEN K JUDD P.A.
NPI 1972560480
Physician Assistant - Medical in Burley, ID

Active since April 27, 2006
1308 BENNETT AVE, BURLEY, ID 83318(208) 678-7796(208) 678-7799 Get Directions Write a Review

NPPES record last updated: November 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellen K Judd P.a. NPPES

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

ELLEN K JUDD P.A. (NPI 1972560480) is an individual medical provider in Burley, Idaho, licensed in Idaho (PA-98) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1972560480
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameELLEN K JUDDCredential: P.A.
Location Address1308 BENNETT AVEBurley, ID 83318-2665
Mailing Address794 Eastland DrTwin Falls, ID 83301-6856 · (208) 734-3312 · Fax (208) 734-3313
Fax(208) 678-7799
Sole ProprietorNo
Enumeration DateApril 27, 2006
Last NPPES UpdateNovember 26, 2012
NPI 1972560480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in ID · PA-98
1308 BENNETT AVE, Burley, ID 83318

Other Identifiers 1

Medicare UPINS59420ID

Other Providers at the Same Location NPPES

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

Clinic/Center (Dental)
1308 BENNETT AVE
BURLEY, ID 83318

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Judd's NPI number?

The NPI number for Ellen Judd is 1972560480. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Ellen Judd located?

Ellen Judd practices at 1308 Bennett Ave, Burley, ID 83318. The listed phone number is (208) 678-7796.

What is Ellen Judd's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Ellen Judd was last updated on November 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.