Healthcare Provider Details

I. General information

NPI: 1306968037
Provider Name (Legal Business Name): JUDY A JAMES-ANDERSON MSN, RN, FNP-C, CDDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 08/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 DIXON ST
LAFAYETTE CO
80026-2790
US

IV. Provider business mailing address

1400 DIXON ST
LAFAYETTE CO
80026-2790
US

V. Phone/Fax

Practice location:
  • Phone: 303-926-6461
  • Fax: 303-604-5431
Mailing address:
  • Phone: 303-457-5719
  • Fax: 303-457-5658

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number103411
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number103411
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number103411
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number103411
License Number StateCO
# 5
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number103411
License Number StateCO
# 6
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number103411
License Number StateCO
# 7
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0992529-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: