Judith A. Bond, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA10003328 Issued in WA

Practice address

11913 NE 195TH St
Bothell, WA 98011-3147

Phone

(425) 489-3100

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1538217161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34584",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241584",
            "telephone_number": "509-241-7349",
            "fax_number": "509-241-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11913 NE 195TH ST",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113147",
            "telephone_number": "425-489-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOND",
        "first_name": "JUDITH",
        "middle_name": "A.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10003328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8342388",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tessa Eileen Bolcer
• Jasmine Bolder
• Rebecca A Bolla, DO
• Ashley Bollentin, LMP
• Norman D Bolosan, DDS
• Bonney Lake Psychiatry LLC
• Bothell Chiropractic & Wellness, PLLC
• Bothell Dental Care
• Bothell Denture Clinic, Inc.
• Bothell Endodontics

• Physician Assistant in Bothell, WA
• Providers in Bothell, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.