Laura R Wendzich, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA60507205 Issued in WA

Practice address

11695 NE 4TH St
Bellevue, WA 98004-5268

Phone

(425) 637-1855

Fax

(425) 344-7970

NPI assigned

Sep 24, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Laura R Brittain Former 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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: laura.wendzich.1@29798.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Virginia Mason Medical Center

  • General Acute Care Hospital
  • Seattle, WA
  • NPI 1801851258
  Medicare reassignment
• Virginia Mason Medical Center

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1922162809
  NPD
• Southlake Clinic Inc PS

  • Clinical Medical Laboratory
  • Renton, WA
  • NPI 1548319171
  NPD (past)

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1013319854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11695 NE 4TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045268",
            "telephone_number": "425-637-1855",
            "fax_number": "425-344-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11695 NE 4TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045268",
            "telephone_number": "425-637-1855",
            "fax_number": "425-344-7970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24604 104th Ave SE",
            "address_2": "Ste. 101",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "980305385",
            "country_code": "US",
            "telephone_number": "253-395-2001",
            "fax_number": "253-852-8012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24604 104th Ave SE",
            "address_2": "Ste. 101",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "980305385",
            "country_code": "US",
            "telephone_number": "253-395-2001",
            "fax_number": "253-852-8012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENDZICH",
        "first_name": "LAURA",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60507205",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA60507205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "BRITTAIN",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wellnessone of Eastgate, PS
• Ashley Wells
• Craig G Wells, M.D.
• Rebecca L Wells, MD
• Welltower Opco Group LLC
• Jean Xu Weng, MA, LMHC
• Sam Tsu-Yin Weng, LAC
• Yujian Weng, DNP, ARNP, FNP-BC
• Jennifer Wentworth
• Rodney Brian Wentworth, D.D.S.

• Medical Physician Assistant in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.