Active NPI
Judys Intimate Apparel Inc
- Prosthetic/Orthotic Supplier
- Tacoma, WA
National Provider Identifier
1669579587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- JUDYS INTIMATE APPAREL INC
- Practice address
- 4538 S Pine St
Tacoma, WA 98409-6527 - Phone
- (253) 474-4404
- Fax
- (253) 474-7555
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ned Forrest Ritchie
- Title
- President
- Phone
- (360) 280-7755
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
4538 S Pine St
Tacoma, WA 98409-6527
Mailing address
4538 S Pine St
Tacoma, WA 98409-6527
Phone (253) 474-4404
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9425000 | Medicaid | WA | |
| 0240JU | Other | WA | REGENCE |
| 011825001 | Other | WA | GROUP HEALTH |
Other names 1
- Judy's Intimate Apparel
National Provider Directory
National Provider DirectoryLocations
2528 Pacific Ave SE
Olympia, WA 98501
Phone (360) 357-8807
4538 S Pine St
Tacoma, WA 98409
Phone (253) 474-4404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1290556800000",
"number": "1669579587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4538 S PINE ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984096527",
"telephone_number": "253-474-4404",
"fax_number": "253-474-7555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4538 S PINE ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984096527",
"telephone_number": "253-474-4404",
"fax_number": "253-474-7555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUDYS INTIMATE APPAREL INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2010-11-24",
"status": "A",
"authorized_official_last_name": "RITCHIE",
"authorized_official_first_name": "NED",
"authorized_official_middle_name": "FORREST",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "360-280-7755"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9425000",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "0240JU",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH",
"identifier": "011825001",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Judy's Intimate Apparel",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.