Provider Demographics
NPI:1386526572
Name:SIMONDS, JUD (RN)
Entity type:Individual
Prefix:
First Name:JUD
Middle Name:
Last Name:SIMONDS
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1711 E OLIVE WAY APT 117
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-5646
Mailing Address - Country:US
Mailing Address - Phone:619-890-3180
Mailing Address - Fax:
Practice Address - Street 1:1711 E OLIVE WAY APT 117
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-5646
Practice Address - Country:US
Practice Address - Phone:619-890-3180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60523979163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator