Active NPI
Aileen Leslie Wedvik Arnp PLLC
- Multi-Specialty Clinic/Center
- Lakewood, WA
National Provider Identifier
1013427004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- AILEEN LESLIE WEDVIK ARNP PLLC
- Practice address
- 4909 108TH St SW
Lakewood, WA 98499-3724 - Phone
- (253) 581-3075
- Fax
- (253) 581-3178
- NPI assigned
- Oct 4, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aileen Wedvik, ARNP
- Title
- Owner
- Phone
- (253) 581-3075
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Pain Clinic/Center | 261QP3300X |
Addresses
Primary practice location
4909 108TH St SW
Lakewood, WA 98499-3724
Mailing address
4909 108TH St SW
Lakewood, WA 98499-3724
Phone (253) 581-3075
National Provider Directory
National Provider DirectoryLocations
4909 108th St SW
Tacoma, WA 98499
Phone (253) 544-4772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1507075200000",
"number": "1013427004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4909 108TH ST SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984993724",
"telephone_number": "253-581-3075",
"fax_number": "253-581-3178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4909 108TH ST SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984993724",
"telephone_number": "253-581-3075",
"fax_number": "253-581-3178"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AILEEN LESLIE WEDVIK ARNP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-04",
"last_updated": "2017-10-04",
"status": "A",
"authorized_official_last_name": "WEDVIK",
"authorized_official_first_name": "AILEEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "253-581-3075",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.