William James Pridgen, LPN, EMT

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPOOO45663 Issued in WA

Practice address

5296 B Badger Lane
USA Meddac Army Community Hospital Building 166
Ft Irwin, CA 92310

Phone

(760) 380-3144

NPI assigned

Dec 5, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Emergency Medical Technician

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780742346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5296 B BADGER LANE",
            "address_2": "USA MEDDAC ARMY COMMUNITY HOSPITAL BUILDING 166",
            "city": "FT IRWIN",
            "state": "CA",
            "postal_code": "92310",
            "telephone_number": "760-380-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5296 B BADGER LANE",
            "address_2": "USA MEDDAC ARMY COMMUNITY HOSPITAL BUILDING 166",
            "city": "FT IRWIN",
            "state": "CA",
            "postal_code": "92310",
            "telephone_number": "760-380-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIDGEN",
        "first_name": "WILLIAM",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "LPN, EMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LPOOO45663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Steven Payne
• Thomas Peper, OD
• Daniel Perez
• Emily Pierce, MD
• Miriam Elon Plass, RN
• Jeffrey Charles Ransom, NP
• Diana Lea Read, R.N.
• Samantha Reineck, RDN
• Valvincent Abanilla Reyes, BCD, LCSW
• Austin Leon Ridgway Jr., MD

• Licensed Practical Nurse in Fort Irwin, CA
• Providers in Fort Irwin, CA by specialty
• Licensed Practical Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.