DEBRA J JUDD (NPI# 1366647166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366647166 |
| Entity Type | Individual |
| Full Name | DEBRA J JUDD |
| Credential | R.N., ARNP |
| Practice Address |
801 W 5th Ave Ste 104 Spokane WA 99204-2823 |
| Mailing Address |
Po Box 30507 Spokane WA 99223-3008 |
| Practice Telephone | 5097477066 |
| Practice Fax Number | 5098383148 |
| Mailing Telephone | 5097477066 |
| Mailing Fax Number | 5098383148 |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2013-07-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60393686 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364S00000X | Clinical Nurse Specialist | RN00064849 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
801 W 5TH AVE STE 104 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811989759 | John G Gollhofer | Obstetrics & Gynecology | 801 W 5th Ave, Suite 412, Spokane, WA 99204-2823 | 2005-08-17 |
| 1558774638 | Tanya Jean Karg | Audiologist-Hearing Aid Fitter | 801 W 5th Ave, Suite 205, Spokane, WA 99204-2823 | 2014-06-06 |
| 1609186121 | Cardiology Associates of Spokane LLC | Internal Medicine | 801 W 5th Ave, Suite 323, Spokane, WA 99204-2823 | 2010-10-18 |
| 1205147659 | Jason D. Roos | Otolaryngology | 801 W 5th Ave, Suite 205, Spokane, WA 99204-2823 | 2010-06-30 |
| 1740431840 | Spokane Medical Imaging Inc | Specialist | 801 W 5th Ave, Suite 205, Spokane, WA 99204-2823 | 2008-10-07 |
| 1790947661 | Sarah Janine Kaldor | Counselor | 801 W 5th Ave, Suite 422, Spokane, WA 99204-2823 | 2008-07-01 |
| 1487813374 | Kidney Care Spokane, P.s. | Internal Medicine | 801 W 5th Ave, Suite 509, Spokane, WA 99204-2823 | 2008-06-05 |
| 1679745905 | Spokane Brain & Spine, Ps | Neurological Surgery | 801 W 5th Ave, Suite 210, Spokane, WA 99204-2823 | 2008-03-26 |
| 1114196466 | Allan Christopher Heller | Neurological Surgery | 801 W 5th Ave, Suite #525, Spokane, WA 99204-2823 | 2008-02-20 |
| 1063696946 | Spokane Audiology Clinic, Inc. | Audiologist | 801 W 5th Ave, Dmob Suite 112, Spokane, WA 99204-2823 | 2007-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495327 | Frontier Behavioral Health | Clinical Nurse Specialist | 107 S Division St, Spokane, WA 99202 | 2005-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548355068 | Jerrie A Larsen | Clinical Nurse Specialist | 2012 Ne 52nd St, Seattle, WA 98105-3344 | 2006-10-03 |
| 1407874530 | Patricia Jo Murphy | Clinical Nurse Specialist | 6505 218th St Sw Ste 9, Mountlake Terrace, WA 98043-2135 | 2006-07-17 |
| 1679012421 | Veronika Y. Smirnova | Clinical Nurse Specialist | 1100 9th Ave, Seattle, WA 98101-2756 | 2017-02-13 |
| 1366573941 | Leanna Jean Ray-colby | Clinical Nurse Specialist | 243511 W Highway 101, Port Angeles, WA 98363-9472 | 2007-03-08 |
| 1417095159 | Denise M Tootill | Clinical Nurse Specialist | 1100 9th Ave, Seattle, WA 98101-2756 | 2007-02-02 |
| 1013013747 | Laura C Heard | Clinical Nurse Specialist | 1660 S Columbian Way, #128, Seattle, WA 98108-1532 | 2006-09-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.