Judith Presson, ANP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30007514 Issued in WA

Practice address

420 Golf Club Rd SE
Suite 203
Lacey, WA 98503-1048

Phone

(360) 493-7469

Fax

(360) 459-2023

NPI assigned

Feb 22, 2007

Last updated

Jul 7, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1235264177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 GOLF CLUB RD SE",
            "address_2": "SUITE 203",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031048",
            "telephone_number": "360-493-7469",
            "fax_number": "360-459-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 GOLF CLUB RD SE",
            "address_2": "SUITE 203",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031048",
            "telephone_number": "360-493-7469",
            "fax_number": "360-459-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESSON",
        "first_name": "JUDITH",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "26556",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "948",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30007514",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00057783",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP3469",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johanna Moman Powell
• Precision Care Services LLC
• Premere Rehab LLC
• Premere Rehab LLC
• Teresa M. Pressly, LMHC
• Duane Thomas Price, CASE MANAGER
• Providence Health & Services - Oregon (Prov Health Sys-Or Shared-SVS Div)
• Providence Health & Services - Washington (Providence St Peter Chemical Dependency Center)
• Providence Health & Services Washington
• Providence Health & Services Washington (Providence SoundHomeCare and Hospice)

• Family Nurse Practitioner in Lacey, WA
• Providers in Lacey, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.