Active NPI
Kathleen R. Judie
- Psychiatric/Mental Health Registered Nurse
- Tacoma, WA
National Provider Identifier
1962686501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- RN00120701
- Practice address
- 3580 Pacific Ave
Tacoma, WA 98418-7915 - Phone
- (253) 798-4500
- Fax
- (253) 798-4493
- NPI assigned
- Dec 18, 2007
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN00120701 | WA | Primary |
Addresses
Primary practice location
3580 Pacific Ave
Tacoma, WA 98418-7915
Mailing address
3580 Pacific Ave
Tacoma, WA 98418-7915
Phone (253) 798-4500
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00120701 | WA | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197936000000",
"number": "1962686501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3580 PACIFIC AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984187915",
"telephone_number": "253-798-4500",
"fax_number": "253-798-4493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3580 PACIFIC AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984187915",
"telephone_number": "253-798-4500",
"fax_number": "253-798-4493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDIE",
"first_name": "KATHLEEN",
"middle_name": "R.",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-18",
"last_updated": "2007-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "WA",
"license": "RN00120701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.