Judy Ellen Clounch-Miyakawa, FNP/PA

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP5864 Issued in CA

Practice address

1646 S Court St
Baart
Visalia, CA 93277

Phone

(559) 625-8890

Fax

(559) 733-5053

NPI assigned

Oct 28, 2005

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

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": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1881685949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 S CHURCH ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932772702",
            "telephone_number": "559-285-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 S COURT ST",
            "address_2": "BAART",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "93277",
            "telephone_number": "559-625-8890",
            "fax_number": "559-733-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUNCH-MIYAKAWA",
        "first_name": "JUDY",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "FNP/PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-28",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP5864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Visalia, CA
• Providers in Visalia, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.