Becky Jean Prideaux Blodgett, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP30003968 Issued in WA

Practice address

7808 Pacific Ave Ste 3
Tacoma, WA 98408-7039

Phone

(253) 503-6178

Fax

(253) 240-0587

NPI assigned

Feb 14, 2006

Last updated

Jul 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Becky Jean Blodgett Professional name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Multicare Good Samaritan Hospital Hospital, Puyallup, WA, CCN 500079
• Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Prideaux-Blodgett LLC

  dba Pacific Northwest Primary Care

  • Family Nurse Practitioner
  • Tacoma, WA
  • NPI 1023431095
  Medicare reassignment NPD
• Empowered Health Corp

  dba Shannon Keenan Zawilski ARNP

  • Primary Care Clinic/Center
  • Tacoma, WA
  • NPI 1043834948
  NPD
• Puyallup Clinic Inc

  • Clinic/Center
  • Puyallup, WA
  • NPI 1497874903
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Multicare Health System

  dba Tacoma General Allenmore

  • General Acute Care Hospital
  • Tacoma, WA
  • NPI 1366556227
  Care Compare affiliation
• Multicare Health System

  dba MultiCare Good Samaritan Hospital

  • General Acute Care Hospital
  • Puyallup, WA
  • NPI 1841231461
  Care Compare affiliation

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1942274204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7808 PACIFIC AVE STE 3",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087039",
            "telephone_number": "253-503-6178",
            "fax_number": "253-240-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7808 PACIFIC AVE STE 3",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087039",
            "telephone_number": "253-503-6178",
            "fax_number": "253-240-0587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1818 South Union Ave",
            "address_2": "Suite 2A",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "98405",
            "country_code": "US",
            "telephone_number": "253-473-7637",
            "fax_number": "253-671-8472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIDEAUX BLODGETT",
        "first_name": "BECKY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "RN00089325",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30003968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OTHER-INDIVIDUAL",
            "identifier": "500004687",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OTHER-GROUP",
            "identifier": "CO3401",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AP30003968",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "RN00089325",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BECKY",
            "last_name": "BLODGETT",
            "middle_name": "JEAN",
            "credential": "ARNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Holly Ann Price, LMP
• Katie Michelle Price, LICSW
• Kelly Price
• Lisa Price, RDH
• Debbie L. Prichard, CRNA
• Prideaux-Blodgett LLC (Pacific Northwest Primary Care)
• Shelly Ann Prideaux, LMP
• William Michael Priebe, MD
• Amber L Pries, ARNP
• Naomi Ruth Priester

• Nurse Practitioner in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.