Judy Ellen Patton, CDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP60080365 Issued in WA

Practice address

3420 NE Sand Hill Rd
Belfair, WA 98528-9007

Phone

(360) 277-2434

NPI assigned

Nov 6, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Washington State Department of Corrections Mission Creek Corrections C

  • Prison Health Clinic/Center
  • Belfair, WA
  • NPI 1689965063
  NPD (past)

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1124596309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12912 WALLACE RD SE",
            "city": "OLALLA",
            "state": "WA",
            "postal_code": "983599521",
            "telephone_number": "360-286-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 NE SAND HILL RD",
            "city": "BELFAIR",
            "state": "WA",
            "postal_code": "985289007",
            "telephone_number": "360-277-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "JUDY",
        "middle_name": "ELLEN",
        "credential": "CDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60080365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Mason Resources
• North Mason School District
• Danielle Oliver, ARNP
• Katherine Opp, RN
• Laura M Opstedal, DPT
• Deborah Pavich, FNP-BC
• Peninsula Community Health Services
• Peninsula Community Health Services
• Peninsula Community Health Services
• Peninsula Community Health Services

• All providers in Belfair, WA
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.