Active NPI
Judy Lynn Larson
- Counselor
- Richland, WA
National Provider Identifier
1376717843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- RC00049107
- Practice address
- 1175 Carondelet Dr
Richland, WA 99354-3300 - Phone
- (509) 943-9104
- Fax
- (509) 943-7241
- NPI assigned
- Apr 16, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | RC00049107 | WA | Primary |
Addresses
Primary practice location
1175 Carondelet Dr
Richland, WA 99354-3300
Mailing address
1175 Carondelet Dr
Richland, WA 99354-3300
Phone (509) 943-9104
Other names 1
- Judy Lynn Vanhill
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC00049107 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1376717843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1175 CARONDELET DR",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993543300",
"telephone_number": "509-943-9104",
"fax_number": "509-943-7241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 CARONDELET DR",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993543300",
"telephone_number": "509-943-9104",
"fax_number": "509-943-7241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "JUDY",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-16",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "RC00049107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUDY",
"last_name": "VANHILL",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.