Debra J Judd, R.N., ARNP

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

RN00064849 Issued in WA

Practice address

801 W 5TH Ave
Ste 104
Spokane, WA 99204-2823

Phone

(509) 747-7066

Fax

(509) 838-3148

NPI assigned

Jun 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

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.

• Nutritional Wisdom, Inc.

  • Health Service Clinic/Center
  • Spokane, WA
  • NPI 1881917524
  NPD (past)
• Vivian Moise MD PC

  • Spinal Cord Injury Medicine Physician
  • Spokane, WA
  • NPI 1326241043
  NPD (past)

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1366647166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30507",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992233008",
            "telephone_number": "509-747-7066",
            "fax_number": "509-838-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W 5TH AVE",
            "address_2": "STE 104",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042823",
            "telephone_number": "509-747-7066",
            "fax_number": "509-838-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDD",
        "first_name": "DEBRA",
        "middle_name": "J",
        "credential": "R.N., ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "WA",
            "license": "RN00064849",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60393686",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JP Therapy LLC
• Oliver Grayson Juaire
• Kristina Jubinville, CDP
• Leslie Dwain Judah, PA-C
• Corey Derek Judd, M.D.
• Jonathan Stewart Judd, DDS
• Joseph A Judd, MS
• Michael A Judd, M.D.
• Judy Felgenhauer, M.D., P.S.
• Judy Thornton MSW PLLC

• Clinical Nurse Specialist in Spokane, WA
• Providers in Spokane, WA by specialty
• Clinical Nurse Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.