Organization Active NPI

Aileen Leslie Wedvik Arnp PLLC

  • Multi-Specialty Clinic/Center
  • Lakewood, WA
National Provider Identifier
1013427004
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
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

Updated by the provider on Oct 4, 2017

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.