Judith Raboy, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP61261531 Issued in WA

Practice address

1017 S 2ND Ave Ste 3
Walla Walla, WA 99362-4183

Phone

(509) 897-3556

Fax

(509) 897-5119

NPI assigned

Aug 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Judy Raboy Other name

Medicare fee-for-service enrollment

Enrolled in MT, OR2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peacehealth Medical GroupGroup PAC ID 9032023270, 256 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sacred Heart Medical Center - Riverbend Hospital, Springfield, OR, CCN 380102

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jraboy617776@direct.peacehealth.org

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.

• Peacehealth Medical Group

  • Family Medicine Physician
  • Eugene, OR
  • NPI 1447207287
  Medicare reassignment Care Compare group NPD
• Peacehealth

  dba Sacred Heart Physicians

  • Hospitalist Physician
  • Springfield, OR
  • NPI 1740223874

  Nurse Practitioner

  Medicare reassignment NPD
• Livingston Healthcare

  dba Livingston HealthCare Gardiner

  • Rehabilitation Clinic/Center
  • Gardiner, MT
  • NPI 1225670375
  NPD
• Livingston Healthcare

  • Critical Access Hospital
  • Livingston, MT
  • NPI 1245222306
  NPD
• Livingston Healthcare Urgent Care

  • Urgent Care Clinic/Center
  • Livingston, MT
  • NPI 1780077354
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Peacehealth

  dba Sacred Heart-RiverBend

  • General Acute Care Hospital
  • Springfield, OR
  • NPI 1083888515
  Care Compare affiliation
• Peacehealth

  • Psychiatric Hospital Unit
  • Eugene, OR
  • NPI 1568236974
  Care Compare affiliation

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1447706841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 S 2ND AVE STE 3",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 S 2ND AVE STE 3",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624183",
            "telephone_number": "509-897-3556",
            "fax_number": "509-897-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABOY",
        "first_name": "JUDITH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-26",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MT",
            "license": "NUR-APRN-LIC-105029",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61261531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDY",
            "last_name": "RABOY",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sheena Pursley, MSW, LSWAIC
• Judy Quach, OD
• Robert C Quackenbush, M.D.
• Qualicenters Inland Northwest L.L.C. (Qualicenters Walla Walla)
• Dana Rabourne
• Alissa N Ralston, ARNP
• Trina Jean Ralston, RN00127773
• Alessandra Ramirez
• Melissa Marleen Ramsey, DDS
• Aaron Henry Randall, MSW

• Nurse Practitioner in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.