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

Mr. Keith Michael Judelman, FNP, RN, EAMP

Individual provider Acupuncturist · NPI 1104134386

Mr. Keith Michael Judelman, FNP, RN, EAMP is a Nurse Practitioner in Sacramento, California. Qualified in 2019, 7 years ago. Practices with Seattle Indian Health Board, a 29-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Washington.

Years since qualifying
7
Licensed in
CA, WA
In the registry since
2010
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1500 21st St
Sacramento, CA 95811
Phone: (916) 443-3299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4110 Stone Way N, Seattle, WA 98103-8000 — (206) 419-3868

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP60995298 (WA)
Acupuncturist Taxonomy 171100000X · Licence 60133669 (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95012894 (CA)

Record details

NPI number1104134386
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP , RN , EAMP
Sole proprietorNo
NPI enumeratedSeptember 21, 2010
Last updated in NPPESDecember 17, 2020
Certification dateDecember 17, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Seattle Indian Health Board — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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