Active NPI
Judy Lynn Burrows, RN
- Registered Nurse
- Bothell, WA
National Provider Identifier
1790359180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 00051775
- Practice address
- 19257 128TH PL NE
Bothell, WA 98011-2559 - NPI assigned
- May 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 00051775 | WA | Primary |
Addresses
Primary practice location
19257 128TH PL NE
Bothell, WA 98011-2559
Mailing address
19257 128TH PL NE
Bothell, WA 98011-2559
Phone (425) 780-2629
Other practice location 1
19257 128th Pl NE
Bothell, WA 98011-2559
Phone (425) 780-2629
Other practice location 2
19257 128th Pl NE
Bothell, WA 98011-2559
Other practice location 3
19257 128th pl ne
Bothell, WA 98011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00051775 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1790359180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19257 128TH PL NE",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980112559",
"telephone_number": "425-780-2629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19257 128TH PL NE",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980112559"
}
],
"practiceLocations": [
{
"address_1": "19257 128th Pl NE",
"address_purpose": "LOCATION",
"city": "Bothell",
"state": "WA",
"postal_code": "980112559",
"country_code": "US",
"telephone_number": "425-780-2629",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19257 128th Pl NE",
"address_purpose": "LOCATION",
"city": "Bothell",
"state": "WA",
"postal_code": "980112559",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19257 128th pl ne",
"address_purpose": "LOCATION",
"city": "Bothell",
"state": "WA",
"postal_code": "98011",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURROWS",
"first_name": "JUDY",
"middle_name": "LYNN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-19",
"last_updated": "2021-05-19",
"certification_date": "2021-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "00051775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.