Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellen K Judd, PA

Individual provider Medical Physician Assistant · NPI 1972560480

Ellen K Judd, PA is a Medical Physician Assistant in Burley, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1308 Bennett Ave
Burley, ID 83318-2665
Phone: (208) 678-7796
Fax: (208) 678-7799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA-98 (ID)

Record details

NPI number1972560480
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 27, 2006
Last updated in NPPESNovember 26, 2012
Mailing address794 Eastland Dr, Twin Falls, ID 83301-6856

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