William Burton Judkins, EMT BASIC

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

EMT.ES.60228092 Issued in WA

Practice address

2106 W Washington Ave Ste 3
Yakima, WA 98903-1272

Phone

(509) 574-8444

NPI assigned

Jan 10, 2021

Last updated

Jan 10, 2021By the provider in NPPES

Sex

Male

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)

Not enrolled

Credentials

Emergency Medical Technician

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Life Systems, Inc.

  • Land Ambulance
  • Yakima, WA
  • NPI 1174572739
  NPD (past)

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

{
    "created_epoch": "1610236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610236800000",
    "number": "1740878255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 W WASHINGTON AVE STE 3",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989031272",
            "telephone_number": "509-308-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 W WASHINGTON AVE STE 3",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989031272",
            "telephone_number": "509-574-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDKINS",
        "first_name": "WILLIAM",
        "middle_name": "BURTON",
        "credential": "EMT BASIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-10",
        "last_updated": "2021-01-10",
        "certification_date": "2021-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "WA",
            "license": "EMT.ES.60228092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DOH EMT",
            "identifier": "EMT.ES.60228092",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Joyce Marie Joy, M.S.W.
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• Stephanie Judy, PHARM.D
• Jay Juhl
• Joseph Saehoon Jung, D.O.
• Carol Jurs
• Alicia Ann Justice

• Basic Emergency Medical Technician in Yakima, WA
• Providers in Yakima, WA by specialty
• Basic Emergency Medical Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2021; 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.