Individual provider Active NPI

Judith Lee Haight, 3747A0650 TECHNICIAN

  • Attendant Care Provider
  • Lynnwood, WA
National Provider Identifier
1114643665
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
Practice address
18910 40TH Ave W
Lynnwood, WA 98036-5603
Phone
(425) 210-7267
NPI assigned
Oct 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X Primary

Addresses

Primary practice location

18910 40TH Ave W
Lynnwood, WA 98036-5603

Mailing address

18910 40TH Ave W
Lynnwood, WA 98036-5603
Phone (425) 210-7267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1114643665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18910 40TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365603",
            "telephone_number": "425-210-7267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18910 40TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365603",
            "telephone_number": "425-210-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIGHT",
        "first_name": "JUDITH",
        "middle_name": "LEE",
        "credential": "3747A0650 TECHNICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.